MINA KIM
NPI 1801559133
Psychologist in Fairfax, VA
About Mina Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINA KIM (NPI 1801559133) is an individual psychologist in Fairfax, Virginia and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mina Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
FAIRFAX, VA 22031
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 Mina Kim's NPI number?
The NPI number for Mina Kim is 1801559133. It was assigned to this individual provider in the NPPES registry on October 13, 2021.
Where is Mina Kim located?
Mina Kim practices at 8280 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (571) 472-4300.
What is Mina Kim's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mina Kim enrolled in Medicare?
Yes. Mina Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mina Kim was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.