DR. GRACE KIM PH.D.
NPI 1104687979
Psychologist - Clinical in Glendora, CA

Active since January 19, 2024
150 E MEDA AVE STE 230, GLENDORA, CA 91741(626) 593-6306 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Grace Kim Ph.d. NPPES

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

DR. GRACE KIM PH.D. (NPI 1104687979) is an individual clinical provider in Glendora, California, licensed in California (PSY18558) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1104687979
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GRACE KIMCredential: PH.D.
Location Address150 E MEDA AVE STE 230Glendora, CA 91741-2624
Mailing Address915 W. Foothill Blvd Suite C #517Claremont, CA 91711 · (626) 593-6306
Sole ProprietorYes
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1104687979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY18558
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
150 E MEDA AVE STE 230, Glendora, CA 91741

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
150 E MEDA AVE STE 230
GLENDORA, CA 91741
Marriage & Family Therapist
150 E MEDA AVE STE 230
GLENDORA, CA 91741
Marriage & Family Therapist
150 E MEDA AVE STE 230
GLENDORA, CA 91741
Marriage & Family Therapist
150 E MEDA AVE STE 230
GLENDORA, CA 91741

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1104687979. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Grace Kim located?

Grace Kim practices at 150 E Meda Ave Ste 230, Glendora, CA 91741. The listed phone number is (626) 593-6306.

What is Grace Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.