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

KYLEE BROOKE SHIN NONE
NPI 1295456861
Psychologist in Berkeley, CA

Active since September 12, 2022
3075 ADELINE ST STE 120, BERKELEY, CA 94703(510) 848-1112(510) 848-4445 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Sep 12, 2022 (2 updates tracked since 2022).

About Kylee Brooke Shin None NPPES

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

KYLEE BROOKE SHIN NONE (NPI 1295456861) is an individual psychologist in Berkeley, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1295456861
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKYLEE BROOKE SHINCredential: NONE
Location Address3075 ADELINE ST STE 120Berkeley, CA 94703-2579
Mailing Address3075 Adeline St Ste 120Berkeley, CA 94703-2579 · (510) 848-1112 · Fax (510) 848-4445
Fax(510) 848-4445
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1295456861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
3075 ADELINE ST STE 120, Berkeley, CA 94703

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.

Occupational Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Rehabilitation Practitioner
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Social Worker
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Counselor
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703

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 Kylee Shin's NPI number?

The NPI number for Kylee Shin is 1295456861. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Kylee Shin located?

Kylee Shin practices at 3075 Adeline St Ste 120, Berkeley, CA 94703. The listed phone number is (510) 848-1112.

What is Kylee Shin's specialty?

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

When was this NPI record last updated?

The NPPES record for Kylee Shin was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.