DR. JAE YEON JEONG PH.D.
NPI 1982939195
Psychologist in Baltimore, MD

Active since October 05, 2009PECOS Enrolled
10 N GREENE STREET, VA MARYLAND HEALTH CARE SYSTEM, BALTIMORE, MD 21201(410) 605-7000 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jae Yeon Jeong Ph.d. NPPES

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

DR. JAE YEON JEONG PH.D. (NPI 1982939195) is an individual psychologist in Baltimore, Maryland, licensed in Maryland (04731) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982939195
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAE YEON JEONGCredential: PH.D.
Location Address10 N GREENE STREET, VA MARYLAND HEALTH CARE SYSTEMBaltimore, MD 21201-1524
Mailing Address10 N Greene Street, Va Maryland Health Care SystemBaltimore, MD 21201-1524 · (410) 605-7000
Sole ProprietorNo
Enumeration DateOctober 5, 2009
Last NPPES UpdateSeptember 13, 2016
NPI 1982939195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MD · 04731 Licensed in NY · 018728
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.
10 N GREENE STREET, Baltimore, MD 21201

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. Jae Yeon Jeong Ph.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.

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.

Department of Veterans Affairs (VA) Pharmacy
10 N GREENE STREET
BALTIMORE, MD 21201
Registered Nurse
10 N GREENE STREET, VETERAN'S ADMINISTRATION MEDICAL CENTER
BALTIMORE, MD 21201
Dentist
10 N GREENE STREET
BALTIMORE, MD 21201
Dietitian, Registered
10 N GREENE STREET, NFS/120
BALTIMORE, MD 21201

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 Jae Yeon Jeong's NPI number?

The NPI number for Jae Yeon Jeong is 1982939195. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Jae Yeon Jeong located?

Jae Yeon Jeong practices at 10 N Greene Street VA Maryland Health Care System, Baltimore, MD 21201. The listed phone number is (410) 605-7000.

What is Jae Yeon Jeong's specialty?

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

Is Jae Yeon Jeong enrolled in Medicare?

Yes. Jae Yeon Jeong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Yeon Jeong was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.