DR. JESSE JONG-SHIK SUH PSY.D.
NPI 1922265404
Psychologist - Clinical in Philadelphia, PA

Active since May 21, 2008PECOS Enrolled
1601 WALNUT ST STE 1128, PHILADELPHIA, PA 19102(215) 207-9373 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 12, 2019, Sep 16, 2019, Nov 18, 2016 and 2 more (5 updates tracked since 2016).

About Dr. Jesse Jong-shik Suh Psy.d. NPPES

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

DR. JESSE JONG-SHIK SUH PSY.D. (NPI 1922265404) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS016534) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Blue Bell.

NPPES Registry Identity

NPI1922265404
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSE JONG-SHIK SUHCredential: PSY.D.
Location Address1601 WALNUT ST STE 1128Philadelphia, PA 19102-2913
Mailing Address1601 Walnut St Ste 1128Philadelphia, PA 19102-2913 · (215) 207-9373
Sole ProprietorYes
Enumeration DateMay 21, 2008
Last NPPES UpdateDecember 12, 20195 updates tracked since enumeration
NPI 1922265404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in PA · PS016534 Licensed in NY · 68 017624
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.
1601 WALNUT ST STE 1128, Philadelphia, PA 19102

Secondary Practice Location 1

Location 11166 Dekalb Pike Ste 109Blue Bell, PA 19422-1844 · Phone (215) 207-9373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jesse Jong-shik Suh Psy.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

Psychologist (Clinical)
1601 WALNUT ST STE 1128
PHILADELPHIA, PA 19102
Psychologist (Clinical)
1601 WALNUT ST STE 1128
PHILADELPHIA, PA 19102
Psychiatry & Neurology (Psychiatry)
1601 WALNUT ST STE 1128
PHILADELPHIA, PA 19102
Psychologist (Clinical)
1601 WALNUT ST STE 1128
PHILADELPHIA, PA 19102

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 Jesse Suh's NPI number?

The NPI number for Jesse Suh is 1922265404. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Jesse Suh located?

Jesse Suh practices at 1601 Walnut St Ste 1128, Philadelphia, PA 19102. The listed phone number is (215) 207-9373.

What is Jesse Suh's specialty?

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

Is Jesse Suh enrolled in Medicare?

Yes. Jesse Suh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Suh was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.