DR. TIADORA KIM PSYD
NPI 1770071680
Psychologist in San Jose, CA

Active since April 25, 2018
5755 COTTLE RD, SAN JOSE, CA 95123(408) 972-3095 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2023, Oct 28, 2022, Jun 6, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Tiadora Kim Psyd NPPES

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

DR. TIADORA KIM PSYD (NPI 1770071680) is an individual psychologist in San Jose, California, licensed in California (32830) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1770071680
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIADORA KIMCredential: PSYD
Location Address5755 COTTLE RDSan Jose, CA 95123-3640
Mailing Address15559 Union Ave # 209Los Gatos, CA 95032-3904 · (408) 357-3680
Sole ProprietorYes
Enumeration DateApril 25, 2018
Last NPPES UpdateJanuary 6, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1770071680 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 · 32830
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.
5755 COTTLE RD, San Jose, CA 95123

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.

Psychologist (Clinical)
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Psychologist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Social Worker (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123

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 Tiadora Kim's NPI number?

The NPI number for Tiadora Kim is 1770071680. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Tiadora Kim located?

Tiadora Kim practices at 5755 Cottle Rd, San Jose, CA 95123. The listed phone number is (408) 972-3095.

What is Tiadora Kim's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Tiadora Kim was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.