Sue H Kim, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP955 Issued in NH

Practice address

One Chalet Dr Ste 106
The Summit Executive Offices
Wilton, NH 03086-0844

Phone

(603) 654-2181

Fax

(603) 654-2182

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Clinical Psychologist

Education

University of Maryland School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Acadia Counseling PLLC

  • Psychologist
  • Wilton, NH
  • NPI 1124233614
  NPD Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1649249889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "address_2": "ONE CHALET DRIVE, SUITE 106",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030860844",
            "telephone_number": "603-654-2181",
            "fax_number": "603-654-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CHALET DR STE 106",
            "address_2": "THE SUMMIT EXECUTIVE OFFICES",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030860844",
            "telephone_number": "603-654-2181",
            "fax_number": "603-654-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "LP955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424604",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RE615801",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinton C. Guiry, DMD
• Katie Hiers, MS
• Sara Jackson
• Marilyn Jonas, M.S, CCC-SLP
• Tristen Leigh Kessler, M.ED. CCC-SLP
• Meagan Knight, LMT
• Erica Lemoyne, M.S
• Sydney Virginia Leyden, MS CF SLP
• Lyndeborough School District
• McDonoughpt LLC

• Psychologist in Wilton, NH
• Providers in Wilton, NH by specialty
• Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.

Verify at the official NPI Registry.