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

Jiwon Helen Wyman, MD

Individual provider Psychiatry Physician · NPI 1043746621

Jiwon Helen Wyman, MD is a Psychiatry in Berkeley, California. Graduated from University of California, Irvine, California College of Medicine in 2017, 9 years ago. Practices with Saint Agnes Medical Center, a 45-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
9
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA, WA
In the registry since
2017
Specialties on file
4
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

1918 Bonita Ave # 208
Berkeley, CA 94704-1014
Phone: (714) 410-6516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16824 44th Ave W Ste 170, Lynnwood, WA 98037-3117 — (714) 410-6516

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A159214 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD61425994 (WA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence A159214 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD61425994 (WA)

Record details

NPI number1043746621
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address454 Las Gallinas Ave # 2030, San Rafael, CA 94903-3618

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Saint Agnes Medical Center — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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