Kim Boykin-Johnson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16047 Issued in CA

Practice address

16255 Ventura Blvd
Encino, CA 91436-2302

Phone

(855) 427-2778

Fax

(213) 784-5690

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Change Within Reach IncGroup PAC ID 2062723810, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Change Within Reach Inc

  • Adult Mental Health Clinic/Center
  • Encino, CA
  • NPI 1003207002
  Medicare reassignment Care Compare group
• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD
• Oscar Oo, PSY.D.

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1427128156
  Medicare reassignment

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1689987281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD STE 500",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362310",
            "telephone_number": "855-427-2778",
            "fax_number": "213-784-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "855-427-2778",
            "fax_number": "213-784-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN-JOHNSON",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Bowles
• Edward Bowz, LMFT
• Adrianne Patrice Box
• Laurie M. Boxer, PH.D.
• Mark Boyajian, MD
• Emily Rachel Brache, BA CHILD PSYCHOLOGY
• Rebecca Jean Brady, R.P.T
• Trevor John Braganca, PHARM. D
• Julie Ann Brams, LMFT
• Rebecca Michelle Branda, PSYD

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.