DR. LORRAINE WONG PHD
NPI 1972962397
Psychologist in Menlo Park, CA

Active since February 12, 2016Opted out of Medicare · through Oct 1, 2027
830 MENLO AVE STE 200C, MENLO PARK, CA 94025(650) 382-2064 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2022, Feb 12, 2016 (2 updates tracked since 2016).

About Dr. Lorraine Wong Phd NPPES

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

DR. LORRAINE WONG PHD (NPI 1972962397) is an individual psychologist in Menlo Park, California, licensed in California (PSY27739) and active in the NPI registry since February 2016. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972962397
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LORRAINE WONGCredential: PHD
Location Address830 MENLO AVE STE 200CMenlo Park, CA 94025-4734
Mailing Address492 Gilbert AvenueMenlo Park, CA 94025 · (540) 382-2064
Sole ProprietorNo
Enumeration DateFebruary 12, 2016
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
NPI 1972962397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY27739
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY27739 (CA)
830 MENLO AVE STE 200C, Menlo Park, CA 94025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lorraine Wong Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Lorraine Wong's NPI number?

The NPI number for Lorraine Wong is 1972962397. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Lorraine Wong located?

Lorraine Wong practices at 830 Menlo Ave Ste 200C, Menlo Park, CA 94025. The listed phone number is (650) 382-2064.

What is Lorraine Wong's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lorraine Wong enrolled in Medicare?

No. Lorraine Wong has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lorraine Wong was last updated on October 12, 2022. 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.