IndividualActive
Richie Wong, PSY.D.
NPI 1215098595 · Clinical Psychologist · Reseda, CA
Provider details
- NPI number
- 1215098595
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Student, Health Care
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19231 Victory Blvd Ste 110
Reseda, CA 91335-6321
Phone: (818) 708-4500
Street-level locationGet directions
Mailing address
19231 Victory Blvd Ste 110
Reseda, CA 91335-6321
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.