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DR. MI-YEOUNG JO PSY.D., ABPP
NPI 1245269117
Clinical Neuropsychologist in Sherman Oaks, CA

Active since July 02, 2006Opted out of Medicare · through Oct 1, 2027
15335 MORRISON ST STE 205, SHERMAN OAKS, CA 91403(818) 647-0105 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mi-yeoung Jo Psy.d., Abpp NPPES

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

DR. MI-YEOUNG JO PSY.D., ABPP (NPI 1245269117) is an individual clinical neuropsychologist in Sherman Oaks, California, licensed in New York (014787) and active in the NPI registry since July 2006. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Sherman Oaks.

NPPES Registry Identity

NPI1245269117
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. MI-YEOUNG JOCredential: PSY.D., ABPP
Location Address15335 MORRISON ST STE 205Sherman Oaks, CA 91403
Mailing Address15335 Morrison St Ste 205Sherman Oaks, CA 91403-1585 · (818) 647-0105
Phone(818) 647-0105
Sole ProprietorYes
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 25, 2018
✔ NPI 1245269117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 014787
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20814 (CA)
15335 MORRISON ST STE 205, Sherman Oaks, CA 91403
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Secondary Practice Location 1

Location 115335 Morrison St Ste 205Sherman Oaks, CA 91403 · Phone (818) 647-0105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mi-yeoung Jo Psy.d., Abpp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

MINDFULNESS WELLNESS
Marriage & Family Therapist
15335 MORRISON ST STE 205
SHERMAN OAKS, CA 91403
Los Angeles County (747) 285-0462
JO NEUROASSESSMENT CENTER
Clinical Neuropsychologist
15335 MORRISON ST STE 205
SHERMAN OAKS, CA 91403
Los Angeles County (818) 647-0105
RAKHEE ALSTON LMFT
Marriage & Family Therapist
15335 MORRISON ST STE 205
SHERMAN OAKS, CA 91403
Los Angeles County (818) 457-9391
PARFYONOVA MARRIAGE AND FAMILY THERAPY
Marriage & Family Therapist
15335 MORRISON ST STE 205
SHERMAN OAKS, CA 91403
Los Angeles County (747) 285-0462

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 Mi-yeoung Jo's NPI number?

The NPI number for Mi-yeoung Jo is 1245269117. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Mi-yeoung Jo located?

Mi-yeoung Jo practices at 15335 Morrison St Ste 205, Sherman Oaks, CA 91403. The listed phone number is (818) 647-0105.

What is Mi-yeoung Jo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mi-yeoung Jo enrolled in Medicare?

No. Mi-yeoung Jo has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mi-yeoung Jo was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.