Active NPI
Rachel E Kim, PHD
- Clinical Psychologist
- Natick, MA
National Provider Identifier
1225464183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11117
- Practice address
- 148 S Main St
Natick, MA 01760-4934 - Phone
- (413) 218-7464
- NPI assigned
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11117 | MA | Primary |
Addresses
Primary practice location
148 S Main St
Natick, MA 01760-4934
Mailing address
148 S Main St
Natick, MA 01760-4934
Phone (413) 218-7464
Other practice location 1
53 Parker Hill Ave
Boston, MA 02120-3225
Phone (617) 278-4256
Other practice location 2
19700 S Vermont Ave
ste 250
Torrance, CA 90502-1100
Phone (213) 252-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11117 | MA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1225464183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 S MAIN ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017604934",
"telephone_number": "413-218-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 S MAIN ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017604934",
"telephone_number": "413-218-7464"
}
],
"practiceLocations": [
{
"address_1": "53 Parker Hill Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021203225",
"country_code": "US",
"telephone_number": "617-278-4256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19700 S Vermont Ave",
"address_2": "ste 250",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905021100",
"country_code": "US",
"telephone_number": "213-252-5800",
"fax_number": "310-329-3611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "RACHEL",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.