DR. KYONG H JO PSY D
NPI 1043334709
Psychologist - Clinical in Pasadena, CA

Q: 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.

Q: What is Kyong Jo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: 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.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

1847 SINALOA AVE, PASADENA, CA 91104(626) 720-7878(626) 316-6780 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, May 6, 2021, Apr 8, 2021 and 1 more (4 updates tracked since 2018).

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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

NPI1043334709

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KYONG H JOCredential: PSY D

Location Address1847 SINALOA AVEPasadena, CA 91104-1559

Mailing Address1847 Sinaloa AvePasadena, CA 91104-1559 · (626) 720-7878

Phone(626) 720-7878

Fax(626) 316-6780

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 19, 2007

Last NPPES UpdateNovember 8, 20214 updates tracked since enumeration

NPPES CertifiedNovember 8, 2021

✔ NPI 1043334709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY32459

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1847 SINALOA AVE, Pasadena, CA 91104

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Other Names 1

Other Name (5)Kyong H Jo Psy D

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3971912064

PECOS Enrollment IDI20210430000958

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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.