SUN AH KIM PSY.D.
NPI 1508149030
Psychologist - Clinical in Pasadena, CA

Q: What is Sun Ah Kim's NPI number?

The NPI number for Sun Ah Kim is 1508149030. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Q: What is Sun Ah Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sun Ah Kim was last updated on April 10, 2017. 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.

Active since September 21, 2011PECOS Enrolled

711 E WALNUT ST STE 311, PASADENA, CA 91101(310) 957-9569 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sun Ah Kim Psy.d. NPPES

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

SUN AH KIM PSY.D. (NPI 1508149030) is an individual clinical provider in Pasadena, California, licensed in California (PSY24461) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508149030

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSUN AH KIMCredential: PSY.D.

Location Address711 E WALNUT ST STE 311Pasadena, CA 91101-4402

Mailing AddressPo Box 421Patton, CA 92369-0421

Phone(310) 957-9569

Sole ProprietorYes

Enumeration DateSeptember 21, 2011

Last NPPES UpdateApril 10, 2017

✔ NPI 1508149030 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 CA · PSY24461

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.

711 E WALNUT ST STE 311, Pasadena, CA 91101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Ah Kim Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sun Ah Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals

16 mi

Psychiatric Hospital

11401 BLOOMFIELD AVE
Norwalk, CA 90650

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1265406565 (562) 863-7011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sun Ah Kim's NPI number?

The NPI number for Sun Ah Kim is 1508149030. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Sun Ah Kim located?

Sun Ah Kim practices at 711 E Walnut St Ste 311, Pasadena, CA 91101. The listed phone number is (310) 957-9569.

What is Sun Ah Kim's specialty?

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

Is Sun Ah Kim enrolled in Medicare?

Yes. Sun Ah Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sun Ah Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun Ah Kim reassigns Medicare benefits to Department Of State Hospitals (Norwalk, CA). The 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 Sun Ah 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 Sun Ah Kim was last updated on April 10, 2017. 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.