JOHNNY K WONG
NPI 1518680719
Psychologist - Clinical in Brooklyn, NY

Q: What is Johnny Wong's NPI number?

The NPI number for Johnny Wong is 1518680719. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Q: What is Johnny Wong's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Johnny Wong was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2022PECOS Enrolled

2846 STILLWELL AVE, BROOKLYN, NY 11224(718) 975-4888 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Sep 22, 2022 (2 updates tracked since 2022).

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About Johnny K Wong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY K WONG (NPI 1518680719) is an individual clinical provider in Brooklyn, New York, licensed in New York (028184) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1518680719

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOHNNY K WONG

Location Address2846 STILLWELL AVEBrooklyn, NY 11224-2624

Mailing Address2846 Stillwell AveBrooklyn, NY 11224-2624 · (718) 975-4888

Phone(718) 975-4888

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 22, 2022

Last NPPES UpdateJune 11, 20262 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1518680719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 028184

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2846 STILLWELL AVE, Brooklyn, NY 11224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny K Wong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880162767

PECOS Enrollment IDI20260508002433

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johnny Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.

1.9 mi

Multi-Specialty

445 KINGS HWY STE 2
Brooklyn, NY 11223

Reassigned Medicare billing, New York enrollment
306 clinicians in this Medicare group

NPI 1912867433 (718) 645-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YELENA DEYKINA

Social Worker