Elwyn Wong, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT5744 Issued in CA

Practice address

740 Nardo Rd
Encinitas, CA 92024-3827

Phone

(760) 518-4682

Fax

(760) 436-5052

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1871999771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NARDO RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243827",
            "telephone_number": "760-518-4682",
            "fax_number": "760-436-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NARDO RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243827",
            "telephone_number": "760-518-4682",
            "fax_number": "760-436-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ELWYN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT5744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wolfe, TECHNICIAN
• Michelle Marie Wolford, ND
• Anna K Wong, M.D.
• Christine Kelly Wong, PA-C
• Deeann Yuk-Han Wong, M.D.
• Natalie Christine Wong
• Christine M Wood, M.D.
• Shelbie Wood, PA-C
• Virginia Gillies Wood, M.A, CCC-SLP
• Alexa Woods, DACM, L.AC.

• Marriage & Family Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.