Organization Active NPI

Patricia Wong PHD LLC

  • Clinical Psychologist
  • Sharon, MA
National Provider Identifier
1407651953
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PATRICIA WONG PHD LLC
Practice address
16 Billings St
Sharon, MA 02067-2120
Phone
(781) 739-2810
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Patricia Wong, PHD
Title
Owner/Clinical Psychologist
Phone
(617) 610-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

16 Billings St
Sharon, MA 02067-2120

Mailing address

84 Billings St
Sharon, MA 02067-2142
Phone (617) 610-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416001842 MA Part B Supplier - Clinic/Group Practice 3870018492 Practice locations: Sharon, MA

National Provider Directory

National Provider Directory

Locations

16 Billings St
Sharon, MA 02067
Phone (781) 739-2810

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1407651953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BILLINGS ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672142",
            "telephone_number": "617-610-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BILLINGS ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672120",
            "telephone_number": "781-739-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA WONG PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-610-2933",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.