DR. ELIZABETH J. KIM PH.D.
NPI 1669480778
Psychologist in Gardengrove, CA

Active since August 04, 2006Opted out of Medicare · through Oct 1, 2027
13030 EUCLID ST., STE 118, GARDENGROVE, CA 92843(714) 537-5400(714) 537-5465 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1669480778
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELIZABETH J. KIMCredential: PH.D.
Location Address13030 EUCLID ST., STE 118Gardengrove, CA 92843-1334
Mailing Address13030 Euclid St, Ste 118Garden Grove, CA 92843-1334 · (714) 537-5400 · Fax (714) 537-5465
Fax(714) 537-5465
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJune 13, 2012
NPI 1669480778 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 · PSY 12964
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.
13030 EUCLID ST., Gardengrove, CA 92843

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.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.