Doreen-Sierra Wong, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

42754 Issued in AZ

Practice address

5215 N Sabino Canyon Rd
Tucson, AZ 85750-6435

Phone

(520) 505-1751

Fax

(740) 212-8473

NPI assigned

Mar 28, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 28, 2023 through Sep 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Sabino Psychiatric Services LLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1952951394
  NPD
• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Psychiatry

  NPD (past)
• Psychological Care Associates, P.C.

  • Clinical Psychologist
  • Woburn, MA
  • NPI 1194770479

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1992766380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N SABINO CAYON ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85750",
            "telephone_number": "520-505-1751",
            "fax_number": "740-212-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N SABINO CANYON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506435",
            "telephone_number": "520-505-1751",
            "fax_number": "740-212-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DOREEN-SIERRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "80594",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "42754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Ann Wong, AU.D.
• Andrew Wong
• Brian James Wong, DDS
• Bryan Wong, AUD
• Chung Lee Wong, M.D.
• Eileen Chen Wong, M.D.
• Joyce Wong, PH.D., L.AC
• Justin Phillip Wong, DDS
• Kaylee Kimiko Wong
• Larry Wong

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.