MIKAYLA KIM PHD
NPI 1396478137
Psychologist - Clinical in Palo Alto, CA
About Mikayla Kim Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKAYLA KIM PHD (NPI 1396478137) is an individual clinical provider in Palo Alto, California, licensed in California (PSY35275) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mikayla Kim Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mikayla Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mikayla Kim's NPI number?
The NPI number for Mikayla Kim is 1396478137. It was assigned to this individual provider in the NPPES registry on July 8, 2022.
Where is Mikayla Kim located?
Mikayla Kim practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
What is Mikayla Kim's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mikayla Kim enrolled in Medicare?
Yes. Mikayla Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mikayla Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Kim reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Stanford Health Care (Stanford, CA). Each 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 Mikayla 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 Mikayla Kim was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mikayla Kim, PHD · NPI 1396478137
Clinical provider in Palo Alto, California. Individual provider, active in the CMS NPPES registry since July 8, 2022.
## Identity
- **NPI:** 1396478137 (Entity type: Individual)
- **Enumerated:** July 8, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY35275 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Stanford Health Care (NPI 1437292927, Stanford, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396478137) · Data from the CMS NPPES public registry.