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SUNG KIM
NPI 1174210587
Psychiatry & Neurology - Child & Adolescent Psychiatry in Salt Lake City, UT

Active since April 18, 2023PECOS Enrolled
501 S CHIPETA WAY RM 1000, SALT LAKE CITY, UT 84108(801) 585-5184 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sung Kim NPPES

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

SUNG KIM (NPI 1174210587) is an individual child & adolescent psychiatry provider in Salt Lake City, Utah, licensed in Utah (14288530-1204) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Denville.

NPPES Registry Identity

NPI1174210587
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameSUNG KIM
Location Address501 S CHIPETA WAY RM 1000Salt Lake City, UT 84108-1222
Mailing Address501 S Chipeta Way Rm 1000Salt Lake City, UT 84108-1222 · (801) 585-5184
Phone(801) 585-5184
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1174210587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in UT · 14288530-1204
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
501 S CHIPETA WAY RM 1000, Salt Lake City, UT 84108
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Secondary Practice Location 1

Location 125 Pocono RdDenville, NJ 07834-2954 · Phone (973) 625-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sung Kim 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.

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.

BRIANNE KIMMET DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-5184
BROOKE DANIELLE PARKER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
MONIKA VLOKA MD
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
JULIAN ROBERT MOSS DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
AMANDA LANAE AYRE DO
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. SPENCER KYLE STEADMAN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. JULIE E. EMMOND MD
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
MERRICK S. REYNOLDS MD
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY RM 1000
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121

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 Sung Kim's NPI number?

The NPI number for Sung Kim is 1174210587. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Sung Kim located?

Sung Kim practices at 501 S Chipeta Way Rm 1000, Salt Lake City, UT 84108. The listed phone number is (801) 585-5184.

What is Sung Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sung Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sung Kim was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.