Active NPI
Ban Hong Lim, PH.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1518415975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY29590
- Practice address
- 221 Westwood Plaza
Box 951556
Los Angeles, CA 90095 - Phone
- (310) 825-0768
- Fax
- (310) 206-7365
- NPI assigned
- Sep 14, 2016
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Psychologist | 103T00000X | PSY29590 | CA | Primary |
Addresses
Primary practice location
221 Westwood Plaza
Box 951556
Los Angeles, CA 90095
Mailing address
13131 Park Place Unit 104
Hawthorne, CA 90250
Phone (785) 312-4077
Other practice location 1
12837 Flushing Meadows Dr
Suite 220
Saint Louis, MO 63131-1824
Phone (314) 516-7458
Other names 1
- Dr. Phylice Lim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 3, 2025 through Mar 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29590 | CA | MD | Psychologist |
| 29590 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1518415975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13131 PARK PLACE UNIT 104",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "90250",
"telephone_number": "785-312-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WESTWOOD PLAZA",
"address_2": "BOX 951556",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-825-0768",
"fax_number": "310-206-7365"
}
],
"practiceLocations": [
{
"address_1": "12837 Flushing Meadows Dr",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631311824",
"country_code": "US",
"telephone_number": "314-516-7458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "BAN HONG",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY29590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHYLICE",
"last_name": "LIM",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.