Sophia J. Wang, Phd - Medicare Mental Health Clinic in Kailua Kona, HI

Sophia J. Wang, Phd is a medicare enrolled mental health clinic (Psychologist - Clinical) in Kailua Kona, Hawaii. The current practice location for Sophia J. Wang, Phd is 76-6225 Kuakini Hwy, Suite C-103, Kailua Kona, Hawaii. For appointments, you can reach them via phone at (808) 329-7176. The mailing address for Sophia J. Wang, Phd is Po Box 4938, Kailua Kona, Hawaii and phone number is (808) 329-7176.

Sophia J. Wang, Phd is licensed to practice in Hawaii (license number PSY1104). The clinic also participates in the medicare program and its NPI number is 1184882177. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 329-7176.

Contact Information

Sophia J. Wang, Phd
76-6225 Kuakini Hwy
Suite C-103
Kailua Kona
HI 96740-3211
(808) 329-7176
Not Available

Mental Health Clinic Profile

Full NameSophia J. Wang, Phd
SpecialityPsychologist
Location76-6225 Kuakini Hwy, Kailua Kona, Hawaii
Authorized Official Name and PositionSophia J Wang (EXECUTIVE OFFICER)
Authorized Official Contact8083297176
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sophia J. Wang, Phd
Po Box 4938
Kailua Kona
HI 96745-4938

Ph: (808) 329-7176
Sophia J. Wang, Phd
76-6225 Kuakini Hwy
Suite C-103
Kailua Kona
HI 96740-3211

Ph: (808) 329-7176

NPI Details:

NPI Number1184882177
Provider Enumeration Date05/28/2008
Last Update Date05/15/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2163618190
Medicare Enrollment IDO20101202000015

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Medical Identifiers

Medical identifiers for Sophia J. Wang, Phd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184882177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY 22403 (California)Secondary
103TC0700XPsychologist - Clinical PSY1104 (Hawaii)Primary
106H00000XMarriage & Family Therapist MFC35927 (California)Secondary
106H00000XMarriage & Family Therapist MFT56 (Hawaii)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sophia J. Wang, Phd acts as a billing entity for following providers:
Provider NameVance Lee Shepperson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437217445
PECOS PAC ID: 4284778440
Enrollment ID: I20180801002999

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Provider NameBethyl Joy Shepperson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1598813701
PECOS PAC ID: 2062548282
Enrollment ID: I20200106000966

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Psychologist in Kailua Kona, HI

Wallace R. Shrinski, Mft
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75-127 Lunapule Rd, 15b, Kailua Kona, HI 96740
Phone: 808-987-7306    
Catherine Smith Lcsw, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75-159 Lunapule Rd Ste 8, Kailua Kona, HI 96740
Phone: 808-896-4002    Fax: 888-883-7420
Roger A Weiss, Inc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 75-5744 Alii Dr, Kailua Kona, HI 96740
Phone: 808-329-7999    
Akamia Wellness Servies
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 73-4322 Keokeo St, Kailua Kona, HI 96740
Phone: 808-938-4162    
Dana Moody
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75-127 Lunapule Rd, Suite 1a, Kailua Kona, HI 96740
Phone: 808-430-6159    
Diane Logan Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 75-127 Lunapule Rd Ste 15b, Kailua Kona, HI 96740
Phone: 808-437-7447    Fax: 808-374-9046

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