JAMES KIM PSYD
NPI 1366988057
Psychologist in Philadelphia, PA

Active since January 18, 2017PECOS Enrolled
533 E GIRARD AVE UNIT 678, PHILADELPHIA, PA 19125(484) 441-3172 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2026, Aug 6, 2025, Apr 29, 2024 and 1 more (4 updates tracked since 2017).

About James Kim Psyd NPPES

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

JAMES KIM PSYD (NPI 1366988057) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019696) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366988057
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJAMES KIMCredential: PSYD
Location Address533 E GIRARD AVE UNIT 678Philadelphia, PA 19125-3311
Mailing Address533 E Girard Ave Unit 678Philadelphia, PA 19125-3311 · (484) 441-3172
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 18, 2017
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1366988057 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 PA · PS019696
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.
533 E GIRARD AVE UNIT 678, Philadelphia, PA 19125

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James Kim Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709228075
PECOS Enrollment IDI20240531002871
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 James Kim's NPI number?

The NPI number for James Kim is 1366988057. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is James Kim located?

James Kim practices at 533 E Girard Ave Unit 678, Philadelphia, PA 19125. The listed phone number is (484) 441-3172.

What is James Kim's specialty?

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

Is James Kim enrolled in Medicare?

Yes. James Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Kim was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.