Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HAEMIN KIM
NPI 1205497914
Psychologist - Clinical in Antioch, CA

Q: What is Haemin Kim's NPI number?

The NPI number for Haemin Kim is 1205497914. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Haemin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haemin Kim was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 24, 2019

2335 COUNTRY HILLS DR, ANTIOCH, CA 94509(925) 608-8700 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jul 22, 2022, Jun 16, 2020 (3 updates tracked since 2020).

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About Haemin Kim NPPES

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

HAEMIN KIM (NPI 1205497914) is an individual clinical provider in Antioch, California, licensed in California (36875) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1205497914

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameHAEMIN KIM

Location Address2335 COUNTRY HILLS DRAntioch, CA 94509-7319

Mailing Address2335 Country Hills DrAntioch, CA 94509-7319

Phone(925) 608-8700

Sole ProprietorYes

Enumeration DateJune 24, 2019

Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1205497914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 36875

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

2335 COUNTRY HILLS DR, Antioch, CA 94509

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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.

MRS. ELIZABETH INDIANA SILIEZAR

Peer Specialist