DR. MARY ANN YAEIL KIM PH.D.
NPI 1700437217
Psychologist - Forensic in San Francisco, CA

Q: What is Mary Ann Kim's NPI number?

The NPI number for Mary Ann Kim is 1700437217. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Q: What is Mary Ann Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ann Kim was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 25, 2019

465 CALIFORNIA ST STE 630, SAN FRANCISCO, CA 94104(415) 905-9680 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Mary Ann Yaeil Kim Ph.d. NPPES

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

DR. MARY ANN YAEIL KIM PH.D. (NPI 1700437217) is an individual forensic provider in San Francisco, California, licensed in California (PSY10504) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1700437217

Entity TypeIndividualFemale

Primary Taxonomy103TF0200X

Provider Legal NameDR. MARY ANN YAEIL KIMCredential: PH.D.

Location Address465 CALIFORNIA ST STE 630San Francisco, CA 94104-1845

Mailing Address38 Miller Ave # 472Mill Valley, CA 94941-1927 · (415) 905-9680

Phone(415) 905-9680

Sole ProprietorYes

Enumeration DateSeptember 25, 2019

✔ NPI 1700437217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers

Taxonomy Code103TF0200X

License✔ Licensed in CA · PSY10504

Definition

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

465 CALIFORNIA ST STE 630, San Francisco, CA 94104

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MS. CATHY JEFFERSON MSW

Social Worker (Clinical)

465 CALIFORNIA ST STE 630
SAN FRANCISCO, CA 94104

San Francisco County (415) 806-6336

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 Mary Ann Kim's NPI number?

The NPI number for Mary Ann Kim is 1700437217. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Mary Ann Kim located?

Mary Ann Kim practices at 465 California St Ste 630, San Francisco, CA 94104. The listed phone number is (415) 905-9680.

What is Mary Ann Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Mary Ann Kim was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.