DEBORAH KIM
NPI 1225413453
Marriage & Family Therapist in Berkeley, CA

Q: What is Deborah Kim's NPI number?

The NPI number for Deborah Kim is 1225413453. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Q: What is Deborah Kim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Deborah Kim enrolled in Medicare?

No. Deborah Kim has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Deborah Kim was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 29, 2015Opted out of Medicare · through Jan 2, 2028

3155 COLLEGE AVE, BERKELEY, CA 94705(510) 393-1935 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Deborah Kim NPPES

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

DEBORAH KIM (NPI 1225413453) is an individual marriage & family therapist in Berkeley, California, licensed in California (105935) and active in the NPI registry since July 2015. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1225413453

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDEBORAH KIM

Location Address3155 COLLEGE AVEBerkeley, CA 94705

Mailing Address3155 College AveBerkeley, CA 94705-2755 · (510) 393-1935

Phone(510) 393-1935

Sole ProprietorNo

Enumeration DateJuly 29, 2015

Last NPPES UpdateAugust 15, 2018

✔ NPI 1225413453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 105935

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3155 COLLEGE AVE, Berkeley, CA 94705

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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

Deborah Kim 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 January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024

Opt-Out In Effect ThroughJanuary 2, 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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