Active NPI
Sayuli S Wong, PSYD
- Clinical Psychologist
- Yuba City, CA
National Provider Identifier
1912243791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 25264
- Practice address
- 1585 Butte House Rd.
Suite C
Yuba City, CA 95993 - Phone
- (530) 671-5483
- NPI assigned
- Dec 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY 25264 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY 25264 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 25264 | CA | Primary |
| Family Psychologist | 103TF0000X | PSY 25264 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 25264 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY 25264 | CA | |
| Psychoanalyst | 102L00000X | PSY 25264 | CA |
Addresses
Primary practice location
1585 Butte House Rd.
Suite C
Yuba City, CA 95993
Mailing address
1585 Butte House Road
Suite C
Yuba City, CA 95993
Phone (530) 671-5483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 25264 | CA | MD | Psychoanalyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sayuli Wong, Psychologist Inc | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Yuba City, CA
- NPI 1497144141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1912243791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 BUTTE HOUSE ROAD",
"address_2": "SUITE C",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "95993",
"telephone_number": "530-671-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 BUTTE HOUSE RD.",
"address_2": "SUITE C",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "95993",
"telephone_number": "530-671-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SAYULI",
"middle_name": "S",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-22",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY 25264",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY 25264",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 25264",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSY 25264",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 25264",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY 25264",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "PSY 25264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.