HEEJIN KIM PSY.D.
NPI 1609004472
Clinical Neuropsychologist in Dallas, TX

Q: What is Heejin Kim's NPI number?

The NPI number for Heejin Kim is 1609004472. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Heejin 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 Heejin Kim was last updated on June 2, 2014. 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.

Active since June 30, 2009PECOS Enrolled

411 N WASHINGTON AVE, SUITE 5000, DALLAS, TX 75246(214) 820-9315 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heejin Kim Psy.d. NPPES

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

HEEJIN KIM PSY.D. (NPI 1609004472) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Texas (36472) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609004472

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameHEEJIN KIMCredential: PSY.D.

Location Address411 N WASHINGTON AVE, SUITE 5000Dallas, TX 75246-1713

Mailing Address411 N Washington Ave, Suite 5000Dallas, TX 75246-1713 · (214) 820-9315

Phone(214) 820-9315

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 30, 2009

Last NPPES UpdateJune 2, 2014

✔ NPI 1609004472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 36472

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 · ClinicalTaxonomy 103TC0700X · License 36472 (TX)

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 36472 (TX)

411 N WASHINGTON AVE, Dallas, TX 75246

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6507332376

PECOS Enrollment IDI20260420000337

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 20

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

STACY L SUTTON PT, DPT, CLT

Physical Therapist

411 N WASHINGTON AVE, STE 4000
DALLAS, TX 75246

Dallas County (214) 820-7872

DANIEL FLATLEY MA, LPC, LPA

Rehabilitation Counselor

411 N WASHINGTON AVE, SUITE 5000
DALLAS, TX 75246

Dallas County (214) 820-8557

DR. MATT Y. BAYAZITOGLU MD

Physical Medicine & Rehabilitation

411 N WASHINGTON AVE, SUITE 4000
DALLAS, TX 75246

Dallas County (214) 820-8557

RACHEL K PARRY CCC SLP

Speech-Language Pathologist

411 N WASHINGTON AVE, STE. 4000
DALLAS, TX 75246

Dallas County (214) 820-7457

DR. EMMANUEL EDGUARDO UBINAS M.D.

Specialist

411 N WASHINGTON AVE, SUITE 2000
DALLAS, TX 75246

Dallas County (214) 824-7373

CAROL JANE BENNETT CLAY

Specialist/Technologist (Athletic Trainer)

411 N WASHINGTON AVE
DALLAS, TX 75246

Dallas County (945) 468-3809

MATERNAL-FETAL HEALTHCARE, P.A.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

411 N WASHINGTON AVE, SUITE 1000
DALLAS, TX 75246

Dallas County (214) 824-9600

KAITLYN WHITE ROUSH M.S., CCC-SLP

Speech-Language Pathologist

411 N WASHINGTON AVE, SUITE 5000
DALLAS, TX 75246

Dallas County (214) 820-9560

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 Heejin Kim's NPI number?

The NPI number for Heejin Kim is 1609004472. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Heejin Kim located?

Heejin Kim practices at 411 N Washington Ave Suite 5000, Dallas, TX 75246. The listed phone number is (214) 820-9315.

What is Heejin Kim's specialty?

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

Is Heejin Kim enrolled in Medicare?

Yes. Heejin Kim is registered in the Medicare PECOS enrollment system.

What insurance does Heejin Kim accept?

Health plans from Blue Cross and Blue Shield of Texas list Heejin Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heejin Kim was last updated on June 2, 2014. 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.