DR. GRACE Y KIM PH.D.
NPI 1790012318
Psychologist in Minneapolis, MN

Active since November 04, 2009PECOS EnrolledAccepts Medicare Assignment
825 NICOLLET MALL, SUITE 415, MINNEAPOLIS, MN 55402(612) 345-5194(612) 354-7974 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Feb 13, 2017 (2 updates tracked since 2017).

About Dr. Grace Y Kim Ph.d. NPPES

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

DR. GRACE Y KIM PH.D. (NPI 1790012318) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP5726) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1790012318
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. GRACE Y KIMCredential: PH.D.
Location Address825 NICOLLET MALL, SUITE 415Minneapolis, MN 55402-2606
Mailing Address825 Nicollet Mall, Suite 1455Minneapolis, MN 55402-2606 · (612) 345-5194 · Fax (612) 354-7974
Fax(612) 354-7974
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 4, 2009
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1790012318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MN · LP5726 Licensed in DC · PSY1000525
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.
825 NICOLLET MALL, Minneapolis, MN 55402

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

Dr. Grace Y Kim Ph.d. 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 ID8527245257
PECOS Enrollment IDI20141009002526
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.

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
825 NICOLLET MALL, SUITE 1630
MINNEAPOLIS, MN 55402
Dermatology
825 NICOLLET MALL, SUITE 1002
MINNEAPOLIS, MN 55402
Dentist
825 NICOLLET MALL
MINNEAPOLIS, MN 55402
Dentist (General Practice)
825 NICOLLET MALL, 829 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Podiatrist (Foot Surgery)
825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402
Podiatrist
825 NICOLLET MALL, SUITE 601
MINNEAPOLIS, MN 55402
Chiropractor
825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402
Physical Medicine & Rehabilitation (Pain Medicine)
825 NICOLLET MALL, SUITE #1453
MINNEAPOLIS, MN 55402

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1790012318. It was assigned to this individual provider in the NPPES registry on November 4, 2009.

Where is Grace Kim located?

Grace Kim practices at 825 Nicollet Mall Suite 415, Minneapolis, MN 55402. The listed phone number is (612) 345-5194.

What is Grace Kim's specialty?

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

Is Grace Kim enrolled in Medicare?

Yes. Grace 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 Grace Kim accept?

Health plans from HealthPartners and Sanford Health Plan list Grace 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 Grace Kim was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.