Deeann Yuk-Han Wong, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A062462 Issued in CA

Practice address

1011 Devonshire Dr
Suite D
Encinitas, CA 92024-5136

Phone

(760) 753-2600

Fax

(760) 301-0038

NPI assigned

Sep 4, 2006

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 19, 2018 through Dec 19, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1063514511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE DR",
            "address_2": "SUITE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245136",
            "telephone_number": "760-753-2600",
            "fax_number": "760-301-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE DR",
            "address_2": "SUITE D",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245136",
            "telephone_number": "760-753-2600",
            "fax_number": "760-301-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DEEANN",
        "middle_name": "YUK-HAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A062462",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A062462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Wolf, PH.D.
• Jennifer Wolfe, TECHNICIAN
• Michelle Marie Wolford, ND
• Anna K Wong, M.D.
• Christine Kelly Wong, PA-C
• Elwyn Wong, PHD
• Natalie Christine Wong
• Christine M Wood, M.D.
• Shelbie Wood, PA-C
• Virginia Gillies Wood, M.A, CCC-SLP

• Psychiatry Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.