Brenda June Wong, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

353 Issued in HI

Practice address

55 Merchant St
22ND Floor
Honolulu, HI 96813-4306

Phone

(808) 535-7700

Fax

(808) 535-7722

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174663330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131604",
            "telephone_number": "808-535-7718",
            "fax_number": "808-535-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERCHANT ST",
            "address_2": "22ND FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134306",
            "telephone_number": "808-535-7700",
            "fax_number": "808-535-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BRENDA",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02407801",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02407802",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST PRV PRACTICE",
            "identifier": "02678-5",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST CLINIC",
            "identifier": "D20158-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Wong
• Avery Wong
• Bert K W Wong, MD
• Berton Naoki Wong, D.D.S.
• Bradley Daijung Wong, MD
• Brian Christopher Wong, ATC
• Brian K Wong, M.D.
• Bruce K Wong, D.C.
• Bryan H Wong, APRN
• Bryan M.K. Wong, D.M.D.

• Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.