SAHRA KIM M.A., PSY.D.
NPI 1295242303
Psychologist in Boston, MA

Active since January 10, 2018Opted out of Medicare · through Jun 17, 2028
150 S HUNTINGTON AVE, BOSTON, MA 02130(323) 206-8374 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2024, Jul 14, 2022, Jan 10, 2018 (3 updates tracked since 2018).

About Sahra Kim M.a., Psy.d. NPPES

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

SAHRA KIM M.A., PSY.D. (NPI 1295242303) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (PSY33169) and active in the NPI registry since January 2018. She has opted out of Medicare through June 17, 2028.

NPPES Registry Identity

NPI1295242303
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAHRA KIMCredential: M.A., PSY.D.
Location Address150 S HUNTINGTON AVEBoston, MA 02130-4817
Mailing Address380 Harrison Ave Unit Ph2fBoston, MA 02118-3779 · (323) 206-8374
Sole ProprietorYes
Enumeration DateJanuary 10, 2018
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1295242303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · PSY33169
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
150 S HUNTINGTON AVE, Boston, MA 02130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sahra Kim M.a., Psy.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 June 17, 2024 through June 17, 2028.

Opt-Out Effective DateJune 17, 2024
Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychologist (Clinical)
150 S HUNTINGTON AVE, 116B-3
BOSTON, MA 02130
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Psychologist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Internal Medicine (Hematology & Oncology)
150 S HUNTINGTON AVE, IIIHO
BOSTON, MA 02130
Registered Nurse
150 S HUNTINGTON AVE
BOSTON, MA 02130
Pharmacist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Psychologist (Clinical)
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM
BOSTON, MA 02130

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 Sahra Kim's NPI number?

The NPI number for Sahra Kim is 1295242303. It was assigned to this individual provider in the NPPES registry on January 10, 2018.

Where is Sahra Kim located?

Sahra Kim practices at 150 S Huntington Ave, Boston, MA 02130. The listed phone number is (323) 206-8374.

What is Sahra Kim's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sahra Kim enrolled in Medicare?

No. Sahra Kim has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sahra Kim was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.