DR. KYONG H JO PSY D
NPI 1043334709
Psychologist - Clinical in Pasadena, CA
About Dr. Kyong H Jo Psy D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYONG H JO PSY D (NPI 1043334709) is an individual clinical provider in Pasadena, California, licensed in California (PSY32459) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kyong H Jo Psy D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kyong Jo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 533 clinicians in this Medicare group
La Palma, CA 90623
- Reassigned Medicare billing, California enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kyong Jo's NPI number?
The NPI number for Kyong Jo is 1043334709. It was assigned to this individual provider in the NPPES registry on March 19, 2007. The provider is also known as Kyong H Jo Psy D.
Where is Kyong Jo located?
Kyong Jo practices at 1847 Sinaloa Ave, Pasadena, CA 91104. The listed phone number is (626) 720-7878.
What is Kyong Jo's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kyong Jo enrolled in Medicare?
Yes. Kyong Jo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kyong Jo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyong Jo reassigns Medicare benefits to 2 organizations: Los Angeles County Department Of Mental Health (Pasadena, CA) and Well Mental Health Counseling Licensed Clinical Social Worker Inc (La Palma, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyong Jo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyong Jo was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kyong H Jo, PSY D · NPI 1043334709
Clinical provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1043334709 (Entity type: Individual)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY32459 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1847 SINALOA AVE, Pasadena, CA 91104-1559
- **Phone:** (626) 720-7878 · **Fax:** (626) 316-6780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Los Angeles County Department Of Mental Health (NPI 1487668737, Pasadena, CA); Well Mental Health Counseling Licensed Clinical Social Worker Inc (NPI 1942080981, La Palma, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043334709) · Data from the CMS NPPES public registry.