DR. EUNAE CHRISTINA KIM PH.D.
NPI 1457472730
Psychologist in Bayside, NY

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
21150 45TH DR, BAYSIDE, NY 11361(718) 578-5242 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eunae Christina Kim Ph.d. NPPES

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

DR. EUNAE CHRISTINA KIM PH.D. (NPI 1457472730) is an individual psychologist in Bayside, New York, licensed in New Jersey (35S100510500) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2006).

NPPES Registry Identity

NPI1457472730
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. EUNAE CHRISTINA KIMCredential: PH.D.
Location Address21150 45TH DRBayside, NY 11361-3357
Mailing Address1018 Palisade Ave, Apt # 3Fort Lee, NJ 07024-6300 · (718) 578-5242
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2006
Enumeration DateApril 3, 2007
Last NPPES UpdateNovember 5, 2013
✔ NPI 1457472730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in NJ · 35S100510500✔ Licensed in NY · 017463
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 001524 (NY)
21150 45TH DR, Bayside, NY 11361

Other Identifiers 3

Other017463NY · Psychologist
Other001524NY · Mental Health
Other35S100510500NJ · Psychology License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eunae Christina Kim Ph.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 ID3971689191
PECOS Enrollment IDI20140206000024
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eunae Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
14415 68TH RD
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
Clinical
85 CRESCENT AVE
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 319 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
1,021 services971 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
902 services492 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.54
Improvement Activities40

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 Eunae Kim's NPI number?

The NPI number for Eunae Kim is 1457472730. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Eunae Kim located?

Eunae Kim practices at 21150 45th Dr, Bayside, NY 11361. The listed phone number is (718) 578-5242.

What is Eunae Kim's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Eunae Kim enrolled in Medicare?

Yes. Eunae 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.

Which organizations bill Medicare for Eunae Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eunae Kim reassigns Medicare benefits to 2 organizations: Senior Care Therapy Psychology Of New York PLLC (Flushing, NY) and Senior Care Therapy LLC (Passaic, NJ). 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 Eunae 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 Eunae Kim was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.