Yong H Kim, PSY.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

428 S Mustang Rd
Yukon, OK 73099-6754

Phone

(405) 365-7556

NPI assigned

Aug 3, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Professional Counseling LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1043392558
  NPD (past)
• Pathways Treatment Services Inc

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1790080562
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1003120973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13004 WILLOWCREST LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731701144",
            "telephone_number": "405-365-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996754",
            "telephone_number": "405-365-7556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 NW 37th St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731187111",
            "country_code": "US",
            "telephone_number": "405-365-7556",
            "fax_number": "405-577-5488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Tyler Kibbe, LPC
• Kids in Motion Mobile Pediatric Therapy LLC
• Joshua Blake Kiener, CRNA
• Wes Lee Kifer, DPH
• Noreen Kile
• Mark A. Kimble Jr., D.C.
• Jeff Kimmel, OTR
• Kohl Jeffry Kimmel
• Amanda Gail King, SLP
• Corie King, LPC

• Counseling Psychologist in Yukon, OK
• Providers in Yukon, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.