Alexis Sheng Wong

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY33369 Issued in CA

Practice address

521 1/2 S Myrtle Ave Ste 910
Monrovia, CA 91016-5189

Phone

(626) 410-0949

NPI assigned

Mar 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Healing Rhythms Psychology IncGroup PAC ID 4385122019, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healing Rhythms Psychology Inc

  • Clinical Psychologist
  • Monrovia, CA
  • NPI 1629956149
  Medicare reassignment Care Compare group NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Case Manager/Care Coordinator

  Medicare reassignment Care Compare group NPD
• Healing Rhythms Psychological Services PC

  • Clinical Psychologist
  • Monrovia, CA
  • NPI 1679136634
  Medicare reassignment NPD

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1629319306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 1/2 S MYRTLE AVE STE 910",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165189",
            "telephone_number": "626-410-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 1/2 S MYRTLE AVE STE 910",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165189",
            "telephone_number": "626-410-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701934",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALEXIS",
        "middle_name": "SHENG",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylea Womack
• Krystal Womack
• Dawn Womer
• Holly Wong Tam
• Alexandria Wong
• Anna Wong
• Kristine Wong, MS, RDN
• Lip Kok Wong
• Miles Wong, PHARMD
• Nadia Wong

• Psychologist in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.

Verify at the official NPI Registry.