JACQUELINE HYO JU KIM PHD
NPI 1487095501
Psychologist in Alhambra, CA

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
1141 S GARFIELD AVE STE 200, ALHAMBRA, CA 91801(626) 588-2825 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Jun 29, 2021, Jun 22, 2021 (3 updates tracked since 2021).

About Jacqueline Hyo Ju Kim Phd NPPES

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

JACQUELINE HYO JU KIM PHD (NPI 1487095501) is an individual psychologist in Alhambra, California, licensed in California (32623) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2017).

NPPES Registry Identity

NPI1487095501
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE HYO JU KIMCredential: PHD
Location Address1141 S GARFIELD AVE STE 200Alhambra, CA 91801-4714
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2017
Enumeration DateJuly 17, 2013
Last NPPES UpdateJune 29, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1487095501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 32623
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.
1141 S GARFIELD AVE STE 200, Alhambra, CA 91801

Other Names 1

Former Name (1)Hyo Ju Kim

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

Jacqueline Hyo Ju Kim Phd 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 ID9638572233
PECOS Enrollment IDI20251026000465
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.

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 Jacqueline Kim's NPI number?

The NPI number for Jacqueline Kim is 1487095501. It was assigned to this individual provider in the NPPES registry on July 17, 2013. The provider is also known as Hyo Ju Kim.

Where is Jacqueline Kim located?

Jacqueline Kim practices at 1141 S Garfield Ave Ste 200, Alhambra, CA 91801. The listed phone number is (626) 588-2825.

What is Jacqueline Kim's specialty?

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

Is Jacqueline Kim enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Kim was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.