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HYO-JIN KIM PH.D.
NPI 1447393830
Psychologist - Clinical in Arlington, MA

Active since February 15, 2007Opted out of Medicare · through Jan 14, 2028
366 MASSACHUSETTS AVE STE 303, ARLINGTON, MA 02474(617) 642-8258(617) 855-9375 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyo-jin Kim Ph.d. NPPES

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

HYO-JIN KIM PH.D. (NPI 1447393830) is an individual clinical provider in Arlington, Massachusetts, licensed in Massachusetts (8688) and active in the NPI registry since February 2007. She has opted out of Medicare through January 14, 2028.

NPPES Registry Identity

NPI1447393830
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameHYO-JIN KIMCredential: PH.D.
Location Address366 MASSACHUSETTS AVE STE 303Arlington, MA 02474-6732
Mailing AddressPo Box 400303Cambridge, MA 02140-0004 · (617) 642-8258
Phone(617) 642-8258
Fax(617) 855-9375
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 18, 2016
✔ NPI 1447393830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 8688
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.
366 MASSACHUSETTS AVE STE 303, Arlington, MA 02474
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Hyo-jin Kim Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 14, 2022 through January 14, 2028.

Opt-Out Effective DateJanuary 14, 2022
Opt-Out In Effect ThroughJanuary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

ACUPUNCTURE & QIGONG FOR INTEGRAL HEALTH
Clinic/Center
366 MASSACHUSETTS AVE STE 303
ARLINGTON, MA 02474
Middlesex County (617) 997-9922
DR. SARAH NYSSA GRAY PSY.D.
Psychologist (Clinical)
366 MASSACHUSETTS AVE STE 303
ARLINGTON, MA 02474
Middlesex County (339) 707-5236

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 Hyo-jin Kim's NPI number?

The NPI number for Hyo-jin Kim is 1447393830. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Hyo-jin Kim located?

Hyo-jin Kim practices at 366 Massachusetts Ave Ste 303, Arlington, MA 02474. The listed phone number is (617) 642-8258.

What is Hyo-jin Kim's specialty?

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

Is Hyo-jin Kim enrolled in Medicare?

No. Hyo-jin Kim has opted out of Medicare through January 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Hyo-jin Kim was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.