Misook Oh Nierodzik, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32024 Issued in CA

Practice address

150 N Grand Ave Ste 212
West Covina, CA 91791-1757

Phone

(626) 915-2110

NPI assigned

Feb 15, 2007

Last updated

Jan 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Korean American Family Services, Inc. (Kfam)

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1902177249

  Marriage & Family Therapist

  NPD
• B&a Professional Services

  • Marriage & Family Therapist
  • Covina, CA
  • NPI 1427269315
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1033252283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N GRAND AVE STE 212",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911757",
            "telephone_number": "626-915-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N GRAND AVE STE 212",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911757",
            "telephone_number": "626-915-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERODZIK",
        "first_name": "MISOOK",
        "middle_name": "OH",
        "name_prefix": "Ms.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC43621",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myemouna I-D Ngwegni
• Angela Li Ni, MD
• Natasha N. Nichols, MFTI
• Edmund James Nichter, M.D.
• Matthew Nieh
• Leticia Nieto
• Pui Nip
• NNB Enterprise LLC
• Edward Alexander Nodal, MFT INTERN
• Catherine Noel-Uyloan, MD

• Clinical Psychologist in West Covina, CA
• Providers in West Covina, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.