Individual provider Active NPI

Gyoung-Jean Jho, PSYD

  • Clinical Psychologist
  • Carlsbad, CA
National Provider Identifier
1023418191
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30433 Issued in CA
Practice address
3081 Madison St
Carlsbad, CA 92008
Phone
(760) 334-6262
NPI assigned
Aug 26, 2014
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY30433 CA Primary

Addresses

Primary practice location

3081 Madison St
Carlsbad, CA 92008

Mailing address

3081 Madison St
Carlsbad, CA 92008-3051
Phone (760) 334-6262

Other names 1

  • Jean Jho Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001690 CA Practitioner - Clinical Psychologist 9436575859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 Saxony Rd
Suite 211
Encinitas, CA 92024-6780
Phone (760) 334-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY30433CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Therapy Group, a Psychological Corporation CurrentSince Jul 1, 2020 Accepting new patients

Locations

169 Saxony Rd
Ste 211
Encinitas, CA 92024
Phone (760) 334-6262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1023418191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083051",
            "telephone_number": "760-334-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "760-334-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHO",
        "first_name": "GYOUNG-JEAN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "JHO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.