Eunice Kim, Psy.D., P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

071006918 Issued in IL

Legal business name

EUNICE KIM, PSY.D., P.C.

Practice address

30 N Michigan Ave Ste 1908
Chicago, IL 60602-3625

Phone

(773) 398-7431

NPI assigned

Jun 9, 2018

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eunice Kim, PSYDNPI 1326473943

Title

Owner

Phone

(773) 398-7431

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eunice Kim, Psy.D., Ltd. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eunice Kim, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1326473943
  NPD Authorized official

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1336632868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023625",
            "telephone_number": "773-398-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1908",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023625",
            "telephone_number": "773-398-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE KIM, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-398-7431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071006918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "1326473943",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eunice Kim, Psy.D., Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.