Active NPI
James Kim, PSYD
- Psychologist
- Philadelphia, PA
National Provider Identifier
1366988057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS019696
- Practice address
- 533 E Girard Ave Unit 678
Philadelphia, PA 19125-3311 - Phone
- (484) 441-3172
- NPI assigned
- Jan 18, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019696 | PA | Primary |
Addresses
Primary practice location
533 E Girard Ave Unit 678
Philadelphia, PA 19125-3311
Mailing address
533 E Girard Ave Unit 678
Philadelphia, PA 19125-3311
Phone (484) 441-3172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20134 Valley Forge Cir
King of Prussia, PA 19406-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019696 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1366988057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 E GIRARD AVE UNIT 678",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253311",
"telephone_number": "484-441-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 E GIRARD AVE UNIT 678",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253311",
"telephone_number": "484-441-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAMES",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-18",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019696",
"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 Jan 8, 2026; 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.