DR. JOHANNA J MYTKO PH.D.
NPI 1831250091
Psychologist - Clinical in Redondo Beach, CA

Q: What is Johanna Mytko's NPI number?

The NPI number for Johanna Mytko is 1831250091. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Johanna Mytko's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johanna Mytko was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 12, 2006PECOS EnrolledAccepts Medicare Assignment

205 AVENUE I, STE 8, REDONDO BEACH, CA 90277(310) 809-9188 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Johanna J Mytko Ph.d. NPPES

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

DR. JOHANNA J MYTKO PH.D. (NPI 1831250091) is an individual clinical provider in Redondo Beach, California, licensed in California (PSY20229) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1831250091

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHANNA J MYTKOCredential: PH.D.

Location Address205 AVENUE I, STE 8Redondo Beach, CA 90277-5619

Mailing Address205 Avenue I, Ste 8Redondo Beach, CA 90277-5619 · (310) 809-9188

Phone(310) 809-9188

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 12, 2006

Last NPPES UpdateFebruary 12, 2016

✔ NPI 1831250091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY20229

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.

205 AVENUE I, Redondo Beach, CA 90277

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 and accepts Medicare assignment

Dr. Johanna J Mytko Ph.d. 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 ID4688816689

PECOS Enrollment IDI20160215000738

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

878 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

CLAIRE LOUISE TOWLE LCSW

Social Worker (Clinical)

205 AVENUE I
REDONDO BEACH, CA 90277

Los Angeles County (310) 540-1879

AMY A'DELL HUMPHREY LMFT

Marriage & Family Therapist

205 AVENUE I, SUITE #11
REDONDO BEACH, CA 90277

Los Angeles County (310) 702-8355

MRS. CAROL GULYAS WINTRODE LMFT

Marriage & Family Therapist

205 AVENUE I, SUITE 21
REDONDO BEACH, CA 90277

Los Angeles County (310) 379-9412

JAMIE HOFFMAN AMFT

Counselor (Mental Health)

205 AVENUE I
REDONDO BEACH, CA 90277

Los Angeles County (650) 279-3364

MRS. RUTH HILDA SCHRIEBMAN MFT

Marriage & Family Therapist

205 AVENUE I, SUITE 15
REDONDO BEACH, CA 90277

Los Angeles County (310) 718-6249

MRS. ROBIN FITZGERALD KROTZ MFC34546

Marriage & Family Therapist

205 AVENUE I, SUITE 20
REDONDO BEACH, CA 90277

Los Angeles County (310) 316-5606

DR. DIANE D. KAY M.S.W., PH.D.

Social Worker (Clinical)

205 AVENUE I, SUITE 28
REDONDO BEACH, CA 90277

Los Angeles County (310) 528-4050

MRS. IRENE E BERLIN MFT

Counselor (Mental Health)

205 AVENUE I, #28
REDONDO BEACH, CA 90277

Los Angeles County (310) 316-7800

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 Johanna Mytko's NPI number?

The NPI number for Johanna Mytko is 1831250091. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Johanna Mytko located?

Johanna Mytko practices at 205 Avenue I Ste 8, Redondo Beach, CA 90277. The listed phone number is (310) 809-9188.

What is Johanna Mytko's specialty?

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

Is Johanna Mytko enrolled in Medicare?

Yes. Johanna Mytko 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 Johanna Mytko was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.