AMANDA KIM PSY.D.
NPI 1689050809
Psychologist - Clinical in Santa Ana, CA

Active since August 11, 2015PECOS Enrolled
1560 BROOKHOLLOW DR STE 212, SANTA ANA, CA 92705(714) 386-9171 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2022, Aug 28, 2021 (2 updates tracked since 2021).

About Amanda Kim Psy.d. NPPES

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

AMANDA KIM PSY.D. (NPI 1689050809) is an individual clinical provider in Santa Ana, California, licensed in California (33503) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cypress, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689050809
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMANDA KIMCredential: PSY.D.
Location Address1560 BROOKHOLLOW DR STE 212Santa Ana, CA 92705-5411
Mailing Address1560 Brookhollow Dr Ste 212Santa Ana, CA 92705-5411 · (714) 386-9171
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 11, 2015
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
NPI 1689050809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 33503
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 ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 33503 (CA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 33503 (CA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 33503 (CA)
1560 BROOKHOLLOW DR STE 212, Santa Ana, CA 92705

Secondary Practice Location 1

Location 19432 Alderbury StCypress, CA 90630-2850 · Phone (949) 444-9047

Accepted 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)

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

PECOS PAC ID3870085343
PECOS Enrollment IDI20251121003113
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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.

Other Providers at the Same Location NPPES 2

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

Psychologist
1560 BROOKHOLLOW DR STE 212
SANTA ANA, CA 92705
Community/Behavioral Health
1560 BROOKHOLLOW DR STE 212
SANTA ANA, CA 92705

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 Amanda Kim's NPI number?

The NPI number for Amanda Kim is 1689050809. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Amanda Kim located?

Amanda Kim practices at 1560 Brookhollow Dr Ste 212, Santa Ana, CA 92705. The listed phone number is (714) 386-9171.

What is Amanda Kim's specialty?

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

Is Amanda Kim enrolled in Medicare?

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

What insurance does Amanda Kim accept?

Health plans from Providence Health Plan list Amanda 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 Amanda Kim was last updated on September 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.