GRACE WING MAN FONG PHD
NPI 1639237217
Clinical Neuropsychologist in Palo Alto, CA

Q: What is Grace Fong's NPI number?

The NPI number for Grace Fong is 1639237217. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Grace Fong's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Fong was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 05, 2006PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Nov 4, 2025, Jun 6, 2022 and 1 more (4 updates tracked since 2021).

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About Grace Wing Man Fong Phd NPPES

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

GRACE WING MAN FONG PHD (NPI 1639237217) is an individual clinical neuropsychologist in Palo Alto, California, licensed in California (PSY36249) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639237217

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameGRACE WING MAN FONGCredential: PHD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateDecember 5, 2006

Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1639237217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY36249

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 36249 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Wing Man Fong Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385934967

PECOS Enrollment IDI20251121004405

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.

Other Providers at the Same Location NPPES 20

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

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)