Fadalia D Kim, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

27133 Issued in OK

Practice address

2782 Washington Dr Ste 100
Norman, OK 73069-1013

Phone

(405) 400-1152

Fax

(405) 217-4383

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

No

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.

• Balance Women'S Health, LLC

  • Clinical Psychologist
  • Moore, OK
  • NPI 1790186385

  OK

  Medicare reassignment Care Compare group NPD
• Psychplus

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1215516950

  OK, Psychiatry

  Medicare reassignment Care Compare group NPD
• Oakwood Springs Physician Group LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1326588807

  OK, Psychiatry

  Medicare reassignment NPD
• Oklahoma Mental Health Council

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1275574907

  OK

  Medicare reassignment NPD
• Saints Medical Group, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1437195922

  OK

  Medicare reassignment NPD
• Southwestern Surgical Affiliates, LLC

  • Orthopaedic Surgery Physician
  • Lawton, OK
  • NPI 1013169531

  OK

  Medicare reassignment NPD
• State of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532

  OK

  Medicare reassignment NPD
• Oklahoma Mental Health Council

  • Community/Behavioral Health Agency
  • Hobart, OK
  • NPI 1801219340
  NPD
• Saints Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Edmond, OK
  • NPI 1730907700
  NPD
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• State of Oklahoma

  • Psychiatric Hospital
  • Norman, OK
  • NPI 1194816074
  NPD
• Oakwood Springs, LLC

  • Psychiatric Hospital
  • Oklahoma City, OK
  • NPI 1770932410
  NPD (past)

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychplus 10 clinicians

Balance Womens Health LLC 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.fadaliakim@148561.advancedmd-direct.com
• FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1285860643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SW 30TH CT",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-676-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 WASHINGTON DR STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691013",
            "telephone_number": "405-400-1152",
            "fax_number": "405-217-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Sl Young Blvd",
            "address_2": "WP 3440",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045033",
            "country_code": "US",
            "telephone_number": "405-271-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Main St",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730715305",
            "country_code": "US",
            "telephone_number": "405-573-6602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13101 Memorial Springs Ct",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731142226",
            "country_code": "US",
            "telephone_number": "405-438-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "FADALIA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "27133",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "27133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200287330B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saqiba Khan
• Kid'S Choice Therapies, LLC
• Nena Kidd
• Sallie Anne Kight, NA, RDLD
• Megan Killman, MHR, LPC
• Kyu Jean Kim, PHARM. D.
• Kimberly Davis, Rd/LD, P.C., Inc.
• Kimberly M. Wise, M.D., P.C.
• Kellye Diane Kimmel, BSW-SOCIAL WORKER
• Kindling Therapy LLC

• All providers in Norman, OK
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.