HEEJIN KIM PH.D.
NPI 1134734213
Psychologist in Bryn Mawr, PA

Active since September 15, 2020Opted out of Medicare · through May 20, 2028
138 MONTROSE AVE UNIT 13, BRYN MAWR, PA 19010(215) 280-6870 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Heejin Kim Ph.d. NPPES

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

HEEJIN KIM PH.D. (NPI 1134734213) is an individual psychologist in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (PS017292) and active in the NPI registry since September 2020. She has opted out of Medicare through May 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134734213
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameHEEJIN KIMCredential: PH.D.
Location Address138 MONTROSE AVE UNIT 13Bryn Mawr, PA 19010-1559
Mailing Address138 Montrose Ave Unit 13Bryn Mawr, PA 19010-1559 · (215) 280-6870
Sole ProprietorYes
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 12, 2020
NPI 1134734213 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 PA · PS017292
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.
138 MONTROSE AVE UNIT 13, Bryn Mawr, PA 19010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Heejin Kim Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2024 through May 20, 2028.

Opt-Out Effective DateMay 20, 2024
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Heejin Kim's NPI number?

The NPI number for Heejin Kim is 1134734213. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Heejin Kim located?

Heejin Kim practices at 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010. The listed phone number is (215) 280-6870.

What is Heejin Kim's specialty?

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

Is Heejin Kim enrolled in Medicare?

No. Heejin Kim has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Heejin Kim was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.