Individual provider Active NPI

Sallie Clara Kim, AMFT

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1699550897
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152617 Issued in CA
Practice address
14530 Sylvan St
Van Nuys, CA 91411-2324
Phone
(818) 582-8832
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 152617 CA Primary
Marriage & Family Therapist 106H00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

14530 Sylvan St
Van Nuys, CA 91411-2324

Mailing address

14530 Sylvan St
Van Nuys, CA 91411-2324
Phone (818) 582-8832

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

State licenses

LicenseStateTypeSpecialty
152617CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Teen Project, Inc. CurrentSince Apr 20, 2025 Accepting new patients
Asian American Drug Abuse Program, Inc PastSince Sep 1, 2023 Accepting new patients

Locations

14530 Sylvan St
Van Nuys, CA 91411
Phone (310) 459-5196

Organizations & group practices 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1699550897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14530 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112324",
            "telephone_number": "818-582-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14530 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112324",
            "telephone_number": "818-582-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SALLIE",
        "middle_name": "CLARA",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152617",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

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

Verify at the official NPI Registry.