Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEENAL JOG PHD
NPI 1962015693
Psychologist - Clinical in San Jose, CA

Q: What is Meenal Jog's NPI number?

The NPI number for Meenal Jog is 1962015693. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Q: What is Meenal Jog'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 Meenal Jog was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 August 24, 2020PECOS Enrolled

1245 S WINCHESTER BLVD STE 110, SAN JOSE, CA 95128(415) 296-5290 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Aug 24, 2020 (2 updates tracked since 2020).

On this page

About Meenal Jog Phd NPPES

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

MEENAL JOG PHD (NPI 1962015693) is an individual clinical provider in San Jose, California, licensed in California (33434) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashua.

NPPES Registry Identity

NPI1962015693

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMEENAL JOGCredential: PHD

Location Address1245 S WINCHESTER BLVD STE 110San Jose, CA 95128-3908

Mailing Address1245 S Winchester Blvd Ste 110San Jose, CA 95128-3908

Phone(415) 296-5290

Sole ProprietorNo

Enumeration DateAugust 24, 2020

Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1962015693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 33434

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 ListedPsychologist · CounselingTaxonomy 103TC1900X · License 33434 (CA)

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

1245 S WINCHESTER BLVD STE 110, San Jose, CA 95128

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Main StNashua, NH 03064-2716 · Phone (603) 883-0005 · Fax (603) 883-0007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meenal Jog 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 16

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

RICHARD DE LA GARZA LCSW

Social Worker (Clinical)