JEEYOON JUNG
NPI 1689022907
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Bernardino, CA

Q: What is Jeeyoon Jung's NPI number?

The NPI number for Jeeyoon Jung is 1689022907. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Jeeyoon Jung's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Jeeyoon Jung was last updated on July 12, 2022. 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 May 26, 2016PECOS Enrolled

303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415(909) 458-1350 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2022, Jul 7, 2020, Sep 3, 2017 (3 updates tracked since 2017).

On this page

About Jeeyoon Jung NPPES

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

JEEYOON JUNG (NPI 1689022907) is an individual child & adolescent psychiatry provider in San Bernardino, California, licensed in California (A151445) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689022907

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameJEEYOON JUNG

Location Address303 E VANDERBILT WAYSan Bernardino, CA 92415-2004

Mailing Address303 E Vanderbilt WaySan Bernardino, CA 92415-0026 · (909) 458-1350

Phone(909) 458-1350

Sole ProprietorNo

Enumeration DateMay 26, 2016

Last NPPES UpdateJuly 12, 20223 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1689022907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · A151445

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

303 E VANDERBILT WAY, San Bernardino, CA 92415

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeeyoon Jung 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.

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.

ANTOINETTE AZAR M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)