DR. KENNEDY WONG PSYD
NPI 1861131088
Psychologist - Clinical in Media, PA

Active since June 04, 2022
22 N PENNELL RD, MEDIA, PA 19063(267) 551-1984 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kennedy Wong Psyd NPPES

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

DR. KENNEDY WONG PSYD (NPI 1861131088) is an individual clinical provider in Media, Pennsylvania, licensed in Pennsylvania (PS019805) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1861131088
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNEDY WONGCredential: PSYD
Location Address22 N PENNELL RDMedia, PA 19063-5520
Mailing Address816 Carpenter St Unit 1fPhiladelphia, PA 19147-3910 · (302) 463-1978
Sole ProprietorYes
Enumeration DateJune 4, 2022
Last NPPES UpdateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
NPI 1861131088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS019805
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.
22 N PENNELL RD, Media, PA 19063

Other Providers at the Same Location NPPES 6

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

Psychologist
22 N PENNELL RD
MEDIA, PA 19063
Psychologist (Clinical Child & Adolescent)
22 N PENNELL RD
MEDIA, PA 19063
Psychologist (Clinical)
22 N PENNELL RD
MEDIA, PA 19063
Counselor (Addiction (Substance Use Disorder))
22 N PENNELL RD
MEDIA, PA 19063
Psychologist (School)
22 N PENNELL RD
MEDIA, PA 19063
Psychologist
22 N PENNELL RD
MEDIA, PA 19063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Wong's NPI number?

The NPI number for Kennedy Wong is 1861131088. It was assigned to this individual provider in the NPPES registry on June 4, 2022.

Where is Kennedy Wong located?

Kennedy Wong practices at 22 N Pennell Rd, Media, PA 19063. The listed phone number is (267) 551-1984.

What is Kennedy Wong's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Wong was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.