DR. JONATHAN BYSTRYNSKI PHD
NPI 1245857150
Psychologist - Clinical in Sacramento, CA

Q: What is Jonathan Bystrynski's NPI number?

The NPI number for Jonathan Bystrynski is 1245857150. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Q: What is Jonathan Bystrynski's specialty?

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

Active since June 26, 2020PECOS Enrolled

2825 50TH ST, SACRAMENTO, CA 95817(916) 734-8396 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2023, Jun 26, 2020 (2 updates tracked since 2020).

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About Dr. Jonathan Bystrynski Phd NPPES

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

DR. JONATHAN BYSTRYNSKI PHD (NPI 1245857150) is an individual clinical provider in Sacramento, California, licensed in California (33825) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245857150

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JONATHAN BYSTRYNSKICredential: PHD

Location Address2825 50TH STSacramento, CA 95817-2310

Mailing Address2825 50th StSacramento, CA 95817-2310

Phone(916) 734-8396

Sole ProprietorNo

Enumeration DateJune 26, 2020

Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2023

✔ NPI 1245857150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 33825

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2825 50TH ST, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Bystrynski Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Bystrynski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The Univ Of Ca

Same address

Clinical Child & Adolescent

2825 50TH ST
Sacramento, CA 95817

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1447423959 (916) 703-0315

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 95817 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

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

Other Providers at the Same Location NPPES 20

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

DR. MARY BETH J STEINFELD M.D.

Pediatrics (Developmental - Behavioral Pediatrics)

2825 50TH ST, UC DAVIS DEPARTMENT OF PEDIATRICS
SACRAMENTO, CA 95817

Sacramento County (916) 703-0271

MS. SUSAN C BACALMAN M.S.W.

Social Worker (Clinical)