Soyoung Jung

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6352001127 Issued in MI

Practice address

4123 Okemos Rd Ste 15
Okemos, MI 48864-2818

Phone

(517) 336-7366

Fax

(527) 336-0808

NPI assigned

May 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Psychological and Consultation Services PC

  • Psychologist
  • Okemos, MI
  • NPI 1407910854
  NPD

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1851180129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4455",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488264455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 OKEMOS RD STE 15",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642818",
            "telephone_number": "517-336-7366",
            "fax_number": "527-336-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SOYOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352001127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandel Joseph
• Joy Family Center
• Jessica Judy
• June Cooke, LMSW, LLC
• Melvin Shao Yun Jung, DMD FAAPD
• Kali Jury
• Kab Mi Enterprises LLC
• Djenabou M Kaba
• Nicole Aimee Kachinosky, CCC-SLP
• Pranav Kalary

• Clinical Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.