Individual provider Active NPI

Karen Lim Kane, PHD

  • Psychologist
  • Madison, WI
National Provider Identifier
1386729093
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2921-57 Issued in WI
Practice address
5534 Medical Cir
Madison, WI 53719-1298
Phone
(608) 274-0355
Fax
(608) 274-5546
NPI assigned
Oct 25, 2006
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2921-57 WI Primary

Addresses

Primary practice location

5534 Medical Cir
Madison, WI 53719-1298

Mailing address

5534 Medical Cir
Madison, WI 53719-1298
Phone (608) 274-0355

Other identifiers 1

IdentifierTypeStateIssuer
2921-57OtherWIWI LICENSE

Other names 1

  • Karen G. Lim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816003076 WI Practitioner - Clinical Psychologist 6507763612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Meriter Hospital, Inc. Current Accepting new patients
Madison Psychiatric Associates, LTD. Psychologist CurrentSince Jul 31, 2022 Accepting new patients
Meriter Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

5534 Medical Cir
Madison, WI 53719
Phone (608) 274-0355

8102 Wellness Way
Madison, WI 53719
Phone (608) 417-8777

Interoperability endpoints

  • Direct secure messaging: kkane896072@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1386729093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191298",
            "telephone_number": "608-274-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191298",
            "telephone_number": "608-274-0355",
            "fax_number": "608-274-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KAREN",
        "middle_name": "LIM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2921-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "2921-57",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LIM",
            "middle_name": "G.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.