JEANNE KIM PSY.D.
NPI 1447589692
Clinical Neuropsychologist in Chatsworth, CA

Q: What is Jeanne Kim's NPI number?

The NPI number for Jeanne Kim is 1447589692. It was assigned to this individual provider in the NPPES registry on December 17, 2009.

Q: What is Jeanne Kim's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanne Kim was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 17, 2009PECOS EnrolledAccepts Medicare Assignment

21053 DEVONSHIRE ST, SUITE 101, CHATSWORTH, CA 91311(818) 726-5326 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeanne Kim Psy.d. NPPES

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

JEANNE KIM PSY.D. (NPI 1447589692) is an individual clinical neuropsychologist in Chatsworth, California, licensed in California (PSY22888) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1447589692

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameJEANNE KIMCredential: PSY.D.

Location Address21053 DEVONSHIRE ST, SUITE 101Chatsworth, CA 91311-2364

Mailing Address21053 Devonshire St, Suite 101Chatsworth, CA 91311-2364

Phone(818) 726-5326

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 17, 2009

Last NPPES UpdateSeptember 20, 2012

✔ NPI 1447589692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY22888

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY22888 (CA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY22888 (CA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY 22888 (CA)

21053 DEVONSHIRE ST, Chatsworth, CA 91311

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Other Identifiers 2

MedicaidPSY228880CA

Medicare PINCV764ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanne Kim Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678608742

PECOS Enrollment IDI20100315000288

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.

Other Providers at the Same Location NPPES

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

DR. ROBERT J. TOMASZEWSKI

Psychologist (Clinical)

21053 DEVONSHIRE ST, SUITE 101
CHATSWORTH, CA 91311

Los Angeles County (818) 886-7222

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 Jeanne Kim's NPI number?

The NPI number for Jeanne Kim is 1447589692. It was assigned to this individual provider in the NPPES registry on December 17, 2009.

Where is Jeanne Kim located?

Jeanne Kim practices at 21053 Devonshire St Suite 101, Chatsworth, CA 91311. The listed phone number is (818) 726-5326.

What is Jeanne Kim's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeanne Kim enrolled in Medicare?

Yes. Jeanne Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeanne Kim was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.