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JACKIE SIHYUN KIM
NPI 1902512650
Speech-Language Pathologist in Cambridge, MA

Active since January 26, 2023
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(407) 729-3863 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Feb 13, 2023, Jan 26, 2023 (3 updates tracked since 2023).

About Jackie Sihyun Kim NPPES

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

JACKIE SIHYUN KIM (NPI 1902512650) is an individual speech-language pathologist provider in Cambridge, Massachusetts, licensed in Massachusetts (78676) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1902512650
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACKIE SIHYUN KIM
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 758-8039
Phone(407) 729-3863
Sole ProprietorNo
Enumeration DateJanuary 26, 2023
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1902512650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MA · 78676
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1493 CAMBRIDGE ST, Cambridge, MA 02139
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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.

ZACHARY OLIFF DO
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
JACOB DYLAN WOLFE LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1646
SARAH-JO SANTILLI RN
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 272-6455
JULIE LYNNE MERCER
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-4212
TAIANA KATSARAS LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
ANGELA DE SILVA
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
RORY HAUSER
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (802) 595-9868
CASEY TRAN
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000

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 Jackie Kim's NPI number?

The NPI number for Jackie Kim is 1902512650. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Jackie Kim located?

Jackie Kim practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (407) 729-3863.

What is Jackie Kim's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jackie Kim was last updated on February 22, 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.