NPIMap

Individual provider Active NPI

Karen Cheng Lim, PSYCHOLOGIST

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1093766834
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18342 Issued in CA
Practice address
520 South Lafayette PK. PL. 3Rd Floor
Los Angeles, CA 90057
Phone
(213) 252-2100
Fax
(213) 383-3146
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18342 CA Primary

Addresses

Primary practice location

520 South Lafayette PK. PL. 3Rd Floor
Los Angeles, CA 90057

Mailing address

520 South Lafayette PK. PL. 3Rd Floor
Los Angeles, CA 90057
Phone (213) 252-2100

Other practice location 1

13800 Heacock St Ste D111
Moreno Valley, CA 92553-3340
Phone (951) 653-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000466 CA Practitioner - Clinical Psychologist 1850304130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians

Practice addresses (Care Compare)

520 S la Fayette Park PL FL
Los Angeles, CA 90057-5400

520 S Lafayette Park PL
FL 3
Los Angeles, CA 90057-5400
Phone (213) 252-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY18342CAMDClinical Psychologist
18342CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Jun 4, 2002 Accepting new patients
Special Service for Groups, Inc. CurrentSince Jun 4, 2002 Accepting new patients
Special Service for Groups, Inc. PastSince Jan 1, 1990 Accepting new patients
Special Service for Groups, Inc. PastSince Jan 1, 1990 Accepting new patients
Special Service for Groups, Inc. PastSince Jan 1, 1990 Accepting new patients
Special Service for Groups PastSince Jan 1, 1990 Accepting new patients
Special Service for Groups, Inc. Clinical PastSince Jan 1, 1990 Accepting new patients

Locations

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1093766834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOUTH LAFAYETTE PK. PL. 3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SOUTH LAFAYETTE PK. PL. 3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Heacock St Ste D111",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925533340",
            "country_code": "US",
            "telephone_number": "951-653-1800",
            "fax_number": "951-653-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "KAREN",
        "middle_name": "CHENG",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.