Active NPI
Jasmine Eunyang Kim, MD
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1659952760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 327342
- Practice address
- 300 Longwood Ave
Boston, MA 02115-5724 - Phone
- (857) 218-3289
- Fax
- (617) 370-8863
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1023228 | MA | |
| Psychiatry Physician | 2084P0800X | 327342 | NY | Primary |
Addresses
Primary practice location
300 Longwood Ave
Boston, MA 02115-5724
Mailing address
515 Madison Ave FL 9-8078
New York, NY 10022-5403
Phone (646) 419-8004
Other practice location 1
515 Madison Ave Fl 9-8078
New York, NY 10022-5403
Phone (646) 419-8004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327342 | NY | MD | Psychiatry Physician |
| 1023228 | MA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- jasmine.kim.1@32662.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1659952760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MADISON AVE FL 9-8078",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225403",
"telephone_number": "646-419-8004",
"fax_number": "617-370-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "857-218-3289",
"fax_number": "617-370-8863"
}
],
"practiceLocations": [
{
"address_1": "515 Madison Ave Fl 9-8078",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100225403",
"country_code": "US",
"telephone_number": "646-419-8004",
"fax_number": "617-370-8863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JASMINE",
"middle_name": "EUNYANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "1023228",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "327342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.