YOUNG JI JENICE KIM M.D.
NPI 1154773422
Psychiatry & Neurology - Psychiatry in Pasadena, CA

Q: What is Young Ji Jenice Kim's NPI number?

The NPI number for Young Ji Jenice Kim is 1154773422. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Young Ji Jenice Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Young Ji Jenice Kim enrolled in Medicare?

No. Young Ji Jenice Kim has opted out of Medicare through July 21, 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.

Active since July 11, 2016Opted out of Medicare · through Jul 21, 2028

92 N MADISON AVE STE 2, PASADENA, CA 91101(626) 784-6604(626) 412-3808 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Young Ji Jenice Kim M.d. NPPES

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

YOUNG JI JENICE KIM M.D. (NPI 1154773422) is an individual psychiatry provider in Pasadena, California, licensed in California (A140581) and active in the NPI registry since July 2016. She has opted out of Medicare through July 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154773422

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameYOUNG JI JENICE KIMCredential: M.D.

Location Address92 N MADISON AVE STE 2Pasadena, CA 91101-1740

Mailing Address92 N Madison Ave Ste 2Pasadena, CA 91101-1740 · (626) 784-6604 · Fax (626) 412-3808

Phone(626) 784-6604

Fax(626) 412-3808

Sole ProprietorYes

Enumeration DateJuly 11, 2016

Last NPPES UpdateJune 21, 2022

NPPES CertifiedJune 21, 2022

✔ NPI 1154773422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A140581

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

92 N MADISON AVE STE 2, Pasadena, CA 91101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Young Ji Jenice Kim M.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 July 21, 2022 through July 21, 2028.

Opt-Out Effective DateJuly 21, 2022

Opt-Out In Effect ThroughJuly 21, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Young Ji Jenice Kim's NPI number?

The NPI number for Young Ji Jenice Kim is 1154773422. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Young Ji Jenice Kim located?

Young Ji Jenice Kim practices at 92 N Madison Ave Ste 2, Pasadena, CA 91101. The listed phone number is (626) 784-6604.

What is Young Ji Jenice Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Young Ji Jenice Kim enrolled in Medicare?

No. Young Ji Jenice Kim has opted out of Medicare through July 21, 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 Young Ji Jenice Kim was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.