MS. SOONIE ANN KIM PHD
NPI 1063475259
Psychologist in Portland, OR

Active since April 10, 2006
5200 SW MACADAM AVE, #580, PORTLAND, OR 97239(503) 231-7854(503) 231-8153 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Soonie Ann Kim Phd NPPES

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

MS. SOONIE ANN KIM PHD (NPI 1063475259) is an individual psychologist in Portland, Oregon, licensed in Oregon (1175) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1063475259
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. SOONIE ANN KIMCredential: PHD
Location Address5200 SW MACADAM AVE, #580Portland, OR 97239-6103
Mailing Address5200 Sw Macadam Ave, #580Portland, OR 97239-6103 · (503) 231-7854 · Fax (503) 231-8153
Fax(503) 231-8153
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 1, 2008
NPI 1063475259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 1175
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.
5200 SW MACADAM AVE, Portland, OR 97239

Other Identifiers 3

Medicaid158831OR
Medicare UPIN136780OR
Medicare ID-Type Unspecified000TCPHC

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Psychologist
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Physical Therapist
5200 SW MACADAM AVE, STE 100, THERAPY SOLUTIONS FOR KIDS
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Physical Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Physical Therapist (Pediatrics)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Occupational Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239

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 Soonie Kim's NPI number?

The NPI number for Soonie Kim is 1063475259. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Soonie Kim located?

Soonie Kim practices at 5200 SW Macadam Ave #580, Portland, OR 97239. The listed phone number is (503) 231-7854.

What is Soonie Kim's specialty?

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

What insurance does Soonie Kim accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Soonie Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soonie Kim was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.