Active NPI
Jonathan Sze Yin Wong, PSY.D
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1285964478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27946
- Practice address
- 1520 San Pablo St Ste 1652
Los Angeles, CA 90033-5321 - Phone
- (323) 442-6000
- NPI assigned
- Jan 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27946 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St Ste 1652
Los Angeles, CA 90033-5321
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 442-6000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.wong@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27946 | CA | MD | Clinical Psychologist |
| 27946 | CA | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1285964478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "626-442-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST STE 1652",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335321",
"telephone_number": "323-442-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JONATHAN",
"middle_name": "SZE YIN",
"name_prefix": "Mr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-11",
"last_updated": "2023-11-27",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27946",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jonathan.wong@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 San Pablo St Ste 1652",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.