Richard J Kim, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1056 Issued in HI

Practice address

3615 Harding Ave
Suite 509
Honolulu, HI 96816-3735

Phone

(808) 739-1992

Fax

(808) 739-1995

NPI assigned

Aug 7, 2014

Sex

Male

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 HI

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

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• The Catalyst Group, LLC

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1497042162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1982013595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163735",
            "telephone_number": "808-739-1992",
            "fax_number": "808-739-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163735",
            "telephone_number": "808-739-1992",
            "fax_number": "808-739-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Kim
• Oh-Young Kim
• Paul Hanjoon Kim, M.D.
• Rae-Ann C Kim, OTR
• Ria Kim, LMFT
• Robert J. Kim, MD
• Roberta Tatsue Kim, OTR
• Sadie N. Kim, M.D.
• Sang Kyeong Kim, L.AC.
• Sarah Kim

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.