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

Jackson Wong, MD

Individual provider Psychiatry Physician · NPI 1699270413

Jackson Wong, MD is a Psychiatry in Salt Lake City, Utah. Graduated from Oregon Health Sciences University School of Medicine in 2018, 8 years ago. Practices with Legacy Emanuel Hospital and Health Center, a 233-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone: (801) 581-4096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 11416306-1205 (UT)

Record details

NPI number1699270413
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2018
Last updated in NPPESSeptember 17, 2019

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Legacy Emanuel Hospital And Health Center — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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