JEONG-EUN SUH
NPI 1093388654
Psychologist in San Mateo, CA

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment
177 BOVET RD STE 300, SAN MATEO, CA 94402(650) 358-7000 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeong-eun Suh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEONG-EUN SUH (NPI 1093388654) is an individual psychologist in San Mateo, California and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093388654
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJEONG-EUN SUH
Location Address177 BOVET RD STE 300San Mateo, CA 94402-3140
Mailing Address177 Bovet Rd Ste 300San Mateo, CA 94402-3140 · (650) 627-1661
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 21, 2021
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1093388654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
177 BOVET RD STE 300, San Mateo, CA 94402

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

Jeong-eun Suh 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 ID9537519905
PECOS Enrollment IDI20231227001774
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
177 BOVET RD STE 300
SAN MATEO, CA 94402
Psychiatry & Neurology (Psychiatry)
177 BOVET RD STE 300
SAN MATEO, CA 94402
Psychologist
177 BOVET RD STE 300
SAN MATEO, CA 94402
Psychologist
177 BOVET RD STE 300
SAN MATEO, CA 94402
Psychologist
177 BOVET RD STE 300
SAN MATEO, CA 94402

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 Jeong-eun Suh's NPI number?

The NPI number for Jeong-eun Suh is 1093388654. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Jeong-eun Suh located?

Jeong-eun Suh practices at 177 Bovet Rd Ste 300, San Mateo, CA 94402. The listed phone number is (650) 358-7000.

What is Jeong-eun Suh's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeong-eun Suh enrolled in Medicare?

Yes. Jeong-eun Suh 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 Jeong-eun Suh was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.