Timothy Kenji Wong, PH.D.
NPI 1043588775ActiveIndividual· Psychologist, Clinical· Santa Monica, CA
Psychologist, Clinical (PH.D.) with Santa Monica Therapy A Psychology Corporation, practicing in Santa Monica, California. Medicare paid $63,690 for services to 15 patients in 2024.
Overview
| NPI | 1043588775 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 8, 2011 |
| Last updated in NPPES | Feb 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY28253 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 660 across 3 procedure codes |
| Paid by Medicare | $63,690 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Santa Monica Therapy A Psychology CorporationSanta Monica, CA · 2 clinicians
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