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DR. MYEONG JIN KIM PSY.D
NPI 1396124707
Psychologist - Clinical in New York, NY

Active since May 19, 2015
1745 BROADWAY FL 17, NEW YORK, NY 10019(212) 851-8102(212) 537-0102 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, Feb 2, 2017 (2 updates tracked since 2017).

About Dr. Myeong Jin Kim Psy.d NPPES

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

DR. MYEONG JIN KIM PSY.D (NPI 1396124707) is an individual clinical provider in New York, New York, licensed in New York (021616) and active in the NPI registry since May 2015. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396124707
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MYEONG JIN KIMCredential: PSY.D
Location Address1745 BROADWAY FL 17New York, NY 10019-4642
Mailing Address475 48th Ave Apt 219Long Island City, NY 11109-5503 · (917) 504-1606
Phone(212) 851-8102
Fax(212) 537-0102
Sole ProprietorNo
Enumeration DateMay 19, 2015
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1396124707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 021616
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 021616 (NY)
1745 BROADWAY FL 17, New York, NY 10019
Open in Google Maps ↗

Secondary Practice Locations 3

Location 122215 Northern Blvd, C1Bayside, NY 11361-3678 · Phone (917) 504-1606
Location 225220 Northern Blvd Ste 202Little Neck, NY 11362-1344 · Phone (917) 504-1606
Location 3475 48th Ave Apt 219Long Island City, NY 11109-5503 · Phone (917) 504-1606

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSA KATE KOZLOV PHD
Psychologist
1745 BROADWAY FL 17
NEW YORK, NY 10019
New York County (212) 851-8100
ETHEL TEICHBERG-SABATH PSYD, LCSW
Psychologist (Clinical)
1745 BROADWAY FL 17
NEW YORK, NY 10019
New York County (212) 851-8102
MR. RYAN MATTHEW DRITZ
Social Worker (Clinical)
1745 BROADWAY FL 17
NEW YORK, NY 10019
New York County (646) 942-1881

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 Myeong Jin Kim's NPI number?

The NPI number for Myeong Jin Kim is 1396124707. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Where is Myeong Jin Kim located?

Myeong Jin Kim practices at 1745 Broadway Fl 17, New York, NY 10019. The listed phone number is (212) 851-8102.

What is Myeong Jin Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Myeong Jin Kim was last updated on September 15, 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.