Individual provider Active NPI

Kim Thi Nguyen Pierce, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Torrance, CA
National Provider Identifier
1962581900
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY 17774 Issued in CA
Practice address
3501 Sepulveda Blvd FL 5
Torrance, CA 90505-2537
Phone
(310) 668-6851
Fax
(310) 898-1607
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY 17774 CA Primary

Addresses

Primary practice location

3501 Sepulveda Blvd FL 5
Torrance, CA 90505-2537

Mailing address

PO Box 3295
Redondo Beach, CA 90277-1295
Phone (310) 668-6851

Other practice location 1

1500 Hughes Way
Long Beach, CA 90810-1864
Phone (310) 961-0605

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150316001401 CA Practitioner - Clinical Psychologist 4486971207 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 17774CAMDClinical Child & Adolescent Psychologist
17774CAMDAcute Care Nurse Practitioner

Organizations & group practices 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1962581900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3295",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771295",
            "telephone_number": "310-668-6851",
            "fax_number": "310-898-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SEPULVEDA BLVD FL 5",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052537",
            "telephone_number": "310-668-6851",
            "fax_number": "310-898-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Hughes Way",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908101864",
            "country_code": "US",
            "telephone_number": "310-961-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN PIERCE",
        "first_name": "KIM",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 17774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.