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DR. KIM HUONG HUYNH PH.D.
NPI 1164021341
Psychologist - Clinical in San Rafael, CA

Active since October 20, 2020PECOS Enrolled
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3011 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2022, Oct 20, 2020 (2 updates tracked since 2020).

About Dr. Kim Huong Huynh Ph.d. NPPES

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

DR. KIM HUONG HUYNH PH.D. (NPI 1164021341) is an individual clinical provider in San Rafael, California, licensed in California (PSY31891) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164021341
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIM HUONG HUYNHCredential: PH.D.
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address111 Smith Ranch RdSan Rafael, CA 94903-1939 · (415) 491-3011
Phone(415) 491-3011
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1164021341 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 · PSY31891
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.
111 SMITH RANCH RD, San Rafael, CA 94903
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Other Names 1

Other Name (5)Dr. Kim H Huynh Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Huong Huynh Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kim Huynh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEPHANIE LOPEZ
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3127
ASFAND KHAN
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JENNIFER DAWN ROSSI MA
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
AMY NICOLE URBAN
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
CORINNE HEIMER
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JONATHAN MICHAEL DUBOS
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
SHIRI LICHTENSTEIN PSYD
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
DR. MONA COLLADO FERRER-KAW M.D.
Psychiatry & Neurology (Addiction Medicine)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3205

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 Kim Huynh's NPI number?

The NPI number for Kim Huynh is 1164021341. It was assigned to this individual provider in the NPPES registry on October 20, 2020. The provider is also known as Dr. Kim H Huynh Ph.D..

Where is Kim Huynh located?

Kim Huynh practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 491-3011.

What is Kim Huynh's specialty?

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

Is Kim Huynh enrolled in Medicare?

Yes. Kim Huynh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Huynh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Huynh reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Huynh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Huynh was last updated on January 11, 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.