Individual provider Active NPI

Howard Leland Wong, MD

  • Child & Adolescent Psychiatry Physician
  • Leavenworth, WA
National Provider Identifier
1376734566
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD60900164 Issued in WA
Practice address
820 Cedar St
Leavenworth, WA 98826-1212
Phone
(360) 322-8254
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N9149 TX
Child & Adolescent Psychiatry Physician 2084P0804X N9149 TX
Child & Adolescent Psychiatry Physician 2084P0804X A141645 CA
Child & Adolescent Psychiatry Physician 2084P0804X MD60900164 WA Primary

Addresses

Primary practice location

820 Cedar St
Leavenworth, WA 98826-1212

Mailing address

820 Cedar St
Leavenworth, WA 98826-1212
Phone (509) 295-7952

Other practice location 1

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AK2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231003001790 MT Practitioner - Psychiatry 6002139334 Reassigns benefits to 1 organization
I20250611002350 AK Practitioner - Psychiatry 6002139334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 8628965910, 47 clinicians

Practice addresses (Care Compare)

3760 Piper St
Suite 1108a
Anchorage, AK 99508-4683
Phone (907) 212-6900

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141645CAMDChild & Adolescent Psychiatry Physician
MD60900164WAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Sep 5, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Providence Health & Services - Washington Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Billings Clinic CurrentSince Sep 5, 2023 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Interoperability endpoints

  • Direct secure messaging: hwong41629@hhsc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1376734566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CEDAR ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261212",
            "telephone_number": "509-295-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CEDAR ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261212",
            "telephone_number": "360-322-8254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-788-6993",
            "fax_number": "360-738-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "HOWARD",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N9149",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N9149",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A141645",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60900164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, WA

Sources for this page

Verify at the official NPI Registry.