Individual provider Active NPI

Myun-Ki Kim, MD

  • Psychiatry Physician
  • Sykesville, MD
National Provider Identifier
1104888940
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0018051 Issued in MD
Practice address
6655 Sykesville Road
Springfield Hospital Center
Sykesville, MD 21784-7966
Phone
(410) 970-7000
Fax
(410) 970-7024
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000154 MD Practitioner - Psychiatry 7719947274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0018051MDMDPsychiatry Physician
0101023600VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Health Services Inc CurrentSince Aug 15, 2003 Accepting new patients
Life Renewal Services, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Life Renewal Services, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients
ABA Health Services Counseling Past Accepting new patients

Locations

3939 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 367-7821

247 E Main St
Westminster, MD 21157
Phone (443) 289-8149

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0018051 MD Primary
Psychiatry Physician 2084P0800X 0101023600 VA

Addresses

Primary practice location

6655 Sykesville Road
Springfield Hospital Center
Sykesville, MD 21784-7966

Mailing address

3450 Tyler Court
Ellicott City, MD 21042-3604
Phone (410) 465-9133

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104888940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 TYLER COURT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423604",
            "telephone_number": "410-465-9133",
            "fax_number": "410-992-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 SYKESVILLE ROAD",
            "address_2": "SPRINGFIELD HOSPITAL CENTER",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847966",
            "telephone_number": "410-970-7000",
            "fax_number": "410-970-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MYUN-KI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0018051",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101023600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.