YEHSONG KIM PH.D.
NPI 1912728718
Psychologist - Clinical in Menlo Park, CA

Q: What is Yehsong Kim's NPI number?

The NPI number for Yehsong Kim is 1912728718. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Q: What is Yehsong Kim's specialty?

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

Q: Is Yehsong Kim enrolled in Medicare?

No. Yehsong Kim has opted out of Medicare through December 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Yehsong Kim was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since October 23, 2024Opted out of Medicare · through Dec 5, 2026

845 EL CAMINO REAL, MENLO PARK, CA 94025(650) 762-8352 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Yehsong Kim Ph.d. NPPES

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

YEHSONG KIM PH.D. (NPI 1912728718) is an individual clinical provider in Menlo Park, California, licensed in California (PSY35228) and active in the NPI registry since October 2024. She has opted out of Medicare through December 5, 2026.

NPPES Registry Identity

NPI1912728718

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameYEHSONG KIMCredential: PH.D.

Location Address845 EL CAMINO REALMenlo Park, CA 94025-4807

Mailing Address845 El Camino RealMenlo Park, CA 94025-4807

Phone(650) 762-8352

Sole ProprietorNo

Enumeration DateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1912728718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY35228

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.

845 EL CAMINO REAL, Menlo Park, CA 94025

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Yehsong Kim Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 5, 2024 through December 5, 2026.

Opt-Out Effective DateDecember 5, 2024

Opt-Out In Effect ThroughDecember 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

JULIA CORCORAN PSY.D.

Psychologist