Active NPI
Julia Ann Wong-Ngan, PH.D.
- Clinical Neuropsychologist
- Portland, OR
National Provider Identifier
1245327501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 708
- Practice address
- 205 SE Spokane St Ste 300
Portland, OR 97202-6487 - Phone
- (503) 242-0490
- Fax
- (503) 238-7450
- NPI assigned
- Oct 6, 2006
- Last updated
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 708 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 708 | OR |
Addresses
Primary practice location
205 SE Spokane St Ste 300
Portland, OR 97202-6487
Mailing address
205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone (503) 242-0490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179796 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031110000191 | OR | Practitioner - Clinical Psychologist | 0547173254 | Practice locations: Portland, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 SE Spokane St
Suite 300
Portland, OR 97202-6487
Phone (503) 242-0490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1245327501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SE SPOKANE ST STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026487",
"telephone_number": "503-242-0490",
"fax_number": "503-238-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SE SPOKANE ST STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026487",
"telephone_number": "503-242-0490",
"fax_number": "503-238-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG-NGAN",
"first_name": "JULIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OR",
"license": "708",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "708",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179796",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.