Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Kenji Wong, PHD

Individual provider Clinical Psychologist · NPI 1043588775

Dr. Timothy Kenji Wong, PHD is a Clinical Psychologist in Santa Monica, California. Qualified in 2014, 12 years ago. Practices with Santa Monica Therapy a Psychology Corporation, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3301 Ocean Park Blvd Ste 210
Santa Monica, CA 90405-3230
Phone: (310) 845-6720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY28253 (CA)

Record details

NPI number1043588775
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 8, 2011
Last updated in NPPESFebruary 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Santa Monica Therapy A Psychology Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Monica