ELEANOR KIM PH.D.
NPI 1295830982
Psychologist in Westlake Village, CA

Active since September 14, 2006Opted out of Medicare · through Apr 19, 2028
5655 LINDERO CANYON RD STE 521-21, WESTLAKE VILLAGE, CA 91362(617) 947-5123 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eleanor Kim Ph.d. NPPES

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

ELEANOR KIM PH.D. (NPI 1295830982) is an individual psychologist in Westlake Village, California, licensed in California (PSY30899) and active in the NPI registry since September 2006. She has opted out of Medicare through April 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295830982
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELEANOR KIMCredential: PH.D.
Location Address5655 LINDERO CANYON RD STE 521-21Westlake Village, CA 91362-4016
Mailing AddressPo Box 426Camarillo, CA 93011-0426 · (617) 947-5123
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 8, 2020
NPPES CertifiedAugust 8, 2020
NPI 1295830982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · PSY30899 Licensed in MA · 7816
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.
5655 LINDERO CANYON RD STE 521-21, Westlake Village, CA 91362

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Eleanor Kim Ph.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 April 19, 2016 through April 19, 2028.

Opt-Out Effective DateApril 19, 2016
Opt-Out In Effect ThroughApril 19, 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.

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 Eleanor Kim's NPI number?

The NPI number for Eleanor Kim is 1295830982. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Eleanor Kim located?

Eleanor Kim practices at 5655 Lindero Canyon Rd Ste 521-21, Westlake Village, CA 91362. The listed phone number is (617) 947-5123.

What is Eleanor Kim's specialty?

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

Is Eleanor Kim enrolled in Medicare?

No. Eleanor Kim has opted out of Medicare through April 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eleanor Kim was last updated on August 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.