DR. ELIZABETH J. KIM PH.D.
NPI 1669480778
Psychologist in Gardengrove, CA
About Dr. Elizabeth J. Kim Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIZABETH J. KIM PH.D. (NPI 1669480778) is an individual psychologist in Gardengrove, California, licensed in California (PSY 12964) and active in the NPI registry since August 2006. She has opted out of Medicare through October 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Elizabeth J. Kim Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.
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 Elizabeth Kim's NPI number?
The NPI number for Elizabeth Kim is 1669480778. It was assigned to this individual provider in the NPPES registry on August 4, 2006.
Where is Elizabeth Kim located?
Elizabeth Kim practices at 13030 Euclid St. Ste 118, Gardengrove, CA 92843. The listed phone number is (714) 537-5400.
What is Elizabeth Kim's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Elizabeth Kim enrolled in Medicare?
No. Elizabeth Kim has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Elizabeth Kim was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.