HANJOO KIM PHD
NPI 1700773900
Psychologist - Clinical in Ann Arbor, MI

Active since June 20, 2025PECOS EnrolledAccepts Medicare Assignment
4250 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 764-0231 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hanjoo Kim Phd NPPES

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

HANJOO KIM PHD (NPI 1700773900) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301019634) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700773900
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameHANJOO KIMCredential: PHD
Location Address4250 PLYMOUTH RDAnn Arbor, MI 48109-2700
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 20, 2025
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1700773900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301019634
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 · Clinical Child & AdolescentTaxonomy 103TC2200X · License 6301019634 (MI)
4250 PLYMOUTH RD, Ann Arbor, MI 48109

Secondary Practice Location 1

Location 14250 Plymouth RdAnn Arbor, MI 48109-2700 · Phone (734) 232-0212

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 and accepts Medicare assignment

Hanjoo Kim Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911409297
PECOS Enrollment IDI20251104001356
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 48109 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Social Worker (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Psychologist (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Nurse Practitioner
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Psychologist (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Social Worker (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Nurse Practitioner
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Psychiatry & Neurology (Psychiatry)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Specialist
4250 PLYMOUTH RD, RACHEL UPJOHN BUILDING
ANN ARBOR, MI 48109

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 Hanjoo Kim's NPI number?

The NPI number for Hanjoo Kim is 1700773900. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Hanjoo Kim located?

Hanjoo Kim practices at 4250 Plymouth Rd, Ann Arbor, MI 48109. The listed phone number is (734) 764-0231.

What is Hanjoo Kim's specialty?

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

Is Hanjoo Kim enrolled in Medicare?

Yes. Hanjoo Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hanjoo Kim accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Hanjoo 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 Hanjoo Kim was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.