Active NPI
Alice Kim
- Psychologist
- Philadelphia, PA
National Provider Identifier
1306796750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY70086429
- Practice address
- 3720 Spruce St Ste 409
Philadelphia, PA 19104-4115 - Phone
- (844) 287-4228
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY70086429 | WA | Primary |
Addresses
Primary practice location
3720 Spruce St Ste 409
Philadelphia, PA 19104-4115
Mailing address
3720 Spruce St Ste 409
Philadelphia, PA 19104-4115
Phone (206) 762-1010
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Cognitive Behavioral Therapy and Mindfulness | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Philadelphia, PA
- NPI 1013627827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1306796750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 SPRUCE ST STE 409",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044115",
"telephone_number": "206-762-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 SPRUCE ST STE 409",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044115",
"telephone_number": "844-287-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALICE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-03",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY70086429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.