Individual provider Active NPI

Stella H Kim, PSYD

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1396260287
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
37554 Issued in TX
Practice address
6560 Fannin St Ste 820
Houston, TX 77030-2761
Phone
(713) 441-8277
Fax
(713) 790-5055
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 37554 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 820
Houston, TX 77030-2761

Mailing address

6560 Fannin St Ste 802
Houston, TX 77030-2726
Phone (713) 441-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171017001360 TX Practitioner - Clinical Psychologist 3678849858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6560 Fannin St
Suite 1840
Houston, TX 77030-2734
Phone (713) 441-3780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37554TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 31, 2023 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Mar 1, 2026 Accepting new patients
Ut Physicians CurrentSince Oct 2, 2017 Accepting new patients
Ut Physicians CurrentSince Oct 2, 2017 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 31, 2023 Accepting new patients

Locations

6560 Fannin St
Ste 802
Houston, TX 77030
Phone (713) 441-3333

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6560 Fannin St
Ste 820
Houston, TX 77030
Phone (713) 441-8277

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6560 Fannin St
Ste 1840
Houston, TX 77030
Phone (713) 441-3780

1941 East Rd
Ste 4358
Houston, TX 77054
Phone (713) 486-0500

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1396260287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 802",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302726",
            "telephone_number": "713-441-8277",
            "fax_number": "713-790-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-441-8277",
            "fax_number": "713-790-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STELLA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.