Individual provider Active NPI

Wing Man Elizabeth Choi, PHD

  • Clinical Neuropsychologist
  • San Francisco, CA
National Provider Identifier
1134825268
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY33916 Issued in CA
Practice address
1001 Potrero Ave RM 7G
San Francisco, CA 94110-3518
Phone
(650) 260-5778
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33916 CA
Clinical Neuropsychologist 103G00000X PSY33916 CA Primary

Addresses

Primary practice location

1001 Potrero Ave RM 7G
San Francisco, CA 94110-3518

Mailing address

3645 Haven Ave Apt 4201
Menlo Park, CA 94025-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418001673 CA Practitioner - Clinical Psychologist 2062887375 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3645 Haven Ave
Apt 4201
Menlo Park, CA 94025-1085
Phone (650) 260-5778

3645 Haven Ave Apt
Suite 4201
Menlo Park, CA 94025-1085

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY33916CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Apr 13, 2023 Accepting new patients
University of California San Francisco CurrentSince Apr 13, 2023 Accepting new patients
Ec Neuropsychological Health PC Clinical Neuropsychologist CurrentSince Mar 15, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 13, 2023 Accepting new patients
University of California San Francisco CurrentSince Apr 13, 2023 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

700 El Camino Real
Ste 120
Menlo Park, CA 94025
Phone (650) 204-1246

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
Rm 7G
San Francisco, CA 94110
Phone (650) 260-5778

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1134825268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 HAVEN AVE APT 4201",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE RM 7G",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "650-260-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "WING MAN ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33916",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY33916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.