JIMMY KIM PSYD
NPI 1376663369
Psychologist in Glen Oaks, NY

Active since March 31, 2007PECOS Enrolled
91.25/100
CMS Quality Rating
7559 263RD ST, GLEN OAKS, NY 11004(718) 470-8428(718) 831-2600 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jimmy Kim Psyd NPPES

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

JIMMY KIM PSYD (NPI 1376663369) is an individual psychologist in Glen Oaks, New York, licensed in New York (016552) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376663369
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJIMMY KIMCredential: PSYD
Location Address7559 263RD STGlen Oaks, NY 11004-1150
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-1246
Fax(718) 831-2600
Sole ProprietorYes
Enumeration DateMarch 31, 2007
Last NPPES UpdateNovember 23, 2009
✔ NPI 1376663369 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 NY · 016552
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.
7559 263RD ST, Glen Oaks, NY 11004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jimmy Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
150 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Psychologist (Clinical)
7559 263RD ST
GLEN OAKS, NY 11004
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Psychiatry & Neurology (Addiction Medicine)
7559 263RD ST
GLEN OAKS, NY 11004
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004

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 Jimmy Kim's NPI number?

The NPI number for Jimmy Kim is 1376663369. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Jimmy Kim located?

Jimmy Kim practices at 7559 263rd St, Glen Oaks, NY 11004. The listed phone number is (718) 470-8428.

What is Jimmy Kim's specialty?

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

Is Jimmy Kim enrolled in Medicare?

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

Which organization bills Medicare for Jimmy Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Kim reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimmy Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jimmy Kim was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.