SOO JEONG YOUN PHD
NPI 1568990331
Psychologist in Boston, MA

Active since May 24, 2017Opted out of Medicare · through Feb 15, 2027
1 BOWDOIN SQ FL 6, BOSTON, MA 02114(617) 724-1705 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2019, May 24, 2017 (2 updates tracked since 2017).

About Soo Jeong Youn Phd NPPES

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

SOO JEONG YOUN PHD (NPI 1568990331) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (10968) and active in the NPI registry since May 2017. She has opted out of Medicare through February 15, 2027.

NPPES Registry Identity

NPI1568990331
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSOO JEONG YOUNCredential: PHD
Location Address1 BOWDOIN SQ FL 6Boston, MA 02114-2927
Mailing Address1 Bowdoin Sq Fl 6Boston, MA 02114-2927 · (617) 724-1705
Sole ProprietorNo
Enumeration DateMay 24, 2017
Last NPPES UpdateApril 11, 20192 updates tracked since enumeration
NPI 1568990331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 10968
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.
1 BOWDOIN SQ FL 6, Boston, MA 02114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Soo Jeong Youn Phd 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 February 15, 2023 through February 15, 2027.

Opt-Out Effective DateFebruary 15, 2023
Opt-Out In Effect ThroughFebruary 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Psychologist
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Psychologist
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Psychologist
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Psychologist
1 BOWDOIN SQ FL 6
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
1 BOWDOIN SQ FL 6
BOSTON, MA 02114

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 Soo Jeong Youn's NPI number?

The NPI number for Soo Jeong Youn is 1568990331. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Soo Jeong Youn located?

Soo Jeong Youn practices at 1 Bowdoin Sq Fl 6, Boston, MA 02114. The listed phone number is (617) 724-1705.

What is Soo Jeong Youn's specialty?

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

Is Soo Jeong Youn enrolled in Medicare?

No. Soo Jeong Youn has opted out of Medicare through February 15, 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 Soo Jeong Youn was last updated on April 11, 2019. 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.