Individual provider Active NPI

Yong Shik Shin, MD

  • Geriatric Psychiatry Physician
  • Pottstown, PA
National Provider Identifier
1881623338
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD034368L Issued in PA
Practice address
1800 E High St Ste 150
Pottstown, PA 19464-3227
Phone
(610) 327-1631
Fax
(610) 327-1199
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD034368L PA Primary
Psychiatry Physician 2084P0800X MD034368L PA

Addresses

Primary practice location

1800 E High St Ste 150
Pottstown, PA 19464-3227

Mailing address

1800 E High St Ste 150
Pottstown, PA 19464-3227
Phone (610) 327-1631

Other identifiers 1

IdentifierTypeStateIssuer
0545215MedicaidPA

Other names 1

  • Mrs. Yong Shik Kim Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000502 PA Practitioner - Psychiatry 3173411832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yong Shik Shin MD and Associates LLCGroup PAC ID 5193751659, 8 clinicians

Practice addresses (Care Compare)

1630 E High St
BLDG 4
Pottstown, PA 19464-3244
Phone (610) 327-1631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD034368LPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yong Shik Shin MD and Associates LLC Psychiatry CurrentSince Jan 1, 2005 Accepting new patients
Penn Psychiatric Center Inc PastSince Aug 26, 2019 Accepting new patients
Pottstown Hospital Company LLC Past Accepting new patients
Collegeville Psychological Center Inc Psychiatry Past Accepting new patients

Locations

27 Blacksmith Rd
Ste 202
Newtown, PA 18940
Phone 2154971001108

1630 E High St
Bldg 4
Pottstown, PA 19464
Phone (610) 326-7880

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1800 E High St
Ste 150
Pottstown, PA 19464

600 Creekside Dr
Ste 609
Sanatoga, PA 19464
Phone (610) 327-1631

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

Organizations & group practices 4

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1881623338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E HIGH ST STE 150",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643227",
            "telephone_number": "610-327-1631",
            "fax_number": "610-327-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E HIGH ST STE 150",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643227",
            "telephone_number": "610-327-1631",
            "fax_number": "610-327-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "YONG",
        "middle_name": "SHIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD034368L",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD034368L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545215",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YONG",
            "last_name": "KIM",
            "middle_name": "SHIK",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.