JENNIFER JO JO KIM PHD
NPI 1427714583
Psychologist - Clinical in Des Plaines, IL
NPI Status: Active since November 12, 2021
Contact Information
1585 ELLINWOOD AVE STE 106
DES PLAINES, IL
ZIP 60016
Phone: (847) 877-3970
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About JENNIFER JO KIM
This page provides the complete NPI Profile along with additional information for Jennifer Jo Kim, a provider established in Des Plaines, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1427714583 assigned on November 2021. The practitioner's primary taxonomy code is 103TC0700X with license number 071.006702 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1427714583
- Provider Name
- JENNIFER JO JO KIM PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1585 ELLINWOOD AVE STE 106 DES PLAINES, IL 60016
- Location Phone
- (847) 877-3970
- Mailing Address
- 325 PARK AVE WILMETTE, IL 60091
- Mailing Phone
- (312) 498-7572
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-12-2021
- Last Update Date
- 11-12-2021
- Code Navigator
A clinical psychologist like Jennifer Jo Kim assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Jo Kim opted out of Medicare effective on 04-01-2024 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 071.006702
- License State
- IL
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2024
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427714583, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
DES PLAINES, IL 60016
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427714583, enumerated as an "individual" on November 12, 2021.
The provider is located at 1585 ELLINWOOD AVE STE 106 DES PLAINES, IL 60016 and the phone number is (847) 877-3970.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
