Hye-Kyong Kim, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5509 Issued in MN

Practice address

1123 Grand Ave # 100
Saint Paul, MN 55105-2885

Phone

(612) 424-0051

Fax

(612) 677-3146

NPI assigned

Aug 6, 2012

Last updated

Oct 18, 2023By the provider in NPPES

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

Other names 1

• Hye-Kyong Kim Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Namu Integrative Therapy Services, LLC

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1275175242
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1962759217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 GRAND AVE # 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052885",
            "telephone_number": "612-424-0051",
            "fax_number": "612-677-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 GRAND AVE # 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052885",
            "telephone_number": "612-424-0051",
            "fax_number": "612-677-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYE-KYONG",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYE-KYONG",
            "last_name": "KIM",
            "credential": "L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Home Care
• Emma Kim Rust
• Jennifer Allyn Yang Kyung Kim-Ardakani
• Alexis Kim, OTR/L
• Charles S. Kim, M.D.
• Jong Duk Kim, M.D.
• Peter David Kim, MD
• Sophia Hyang Kim, MD
• Yul Lee Kim, M.D.
• Kim's Korner LLC

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.