YEIRIM KIM
NPI 1548803463
Psychologist - Clinical in Waterford, MI

Active since October 23, 2019
5619 COOLEY LAKE RD, WATERFORD, MI 48327(248) 396-6765 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Aug 14, 2024, Oct 23, 2019 (3 updates tracked since 2019).

About Yeirim Kim NPPES

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

YEIRIM KIM (NPI 1548803463) is an individual clinical provider in Waterford, Michigan, licensed in Michigan (6362009970) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1548803463
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameYEIRIM KIM
Location Address5619 COOLEY LAKE RDWaterford, MI 48327-3016
Mailing Address7243 Ideal TerWaterford, MI 48329-2835 · (248) 396-6765
Sole ProprietorNo
Enumeration DateOctober 23, 2019
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1548803463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6362009970
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
5619 COOLEY LAKE RD, Waterford, MI 48327

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 Yeirim Kim's NPI number?

The NPI number for Yeirim Kim is 1548803463. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Yeirim Kim located?

Yeirim Kim practices at 5619 Cooley Lake Rd, Waterford, MI 48327. The listed phone number is (248) 396-6765.

What is Yeirim Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Yeirim Kim was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.