Mi-Yeoung Jo, PSY.D., ABPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

014787 Issued in NY

Practice address

15335 Morrison St Ste 205
Sherman Oaks, CA 91403

Phone

(818) 647-0105

NPI assigned

Jul 2, 2006

Last updated

Oct 25, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mjo101930@direct.cshs.org

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.

• Jo Neuroassessment Center

  • Clinical Neuropsychologist
  • Sherman Oaks, CA
  • NPI 1215455670
  Authorized official Same address or phone
• Trustees of Columbia University in Department of Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1619911526
  NPD (past)
• University Physicians of Brooklyn, Inc.

  dba Downstate Health Physicians

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1477500916
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1245269117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST STE 205",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031585",
            "telephone_number": "818-647-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST STE 205",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-647-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15335 Morrison St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "91403",
            "country_code": "US",
            "telephone_number": "818-647-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JO",
        "first_name": "MI-YEOUNG",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "014787",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Jessum, PHD
• Cynthia Jimenez Covarrubias
• Maria Elena Jimenez Hernandez
• Edna Jimenez
• Jo Neuroassessment Center
• Jodi Milstein, LMFT, Inc.
• Joey Brett MD a Professional Medical Corporation
• John a. Beradino, PH.D, Inc.
• John E. Glassco, MD, Inc.
• Elizabeth Ann John, M.A., CCC-SLP

• Clinical Neuropsychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.