Jean Kim, PHD
NPI 1205214194 · Clinical Psychologist · Boise, ID
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jean Kim, PHD is a Clinical Psychologist provider in Boise, ID (NPI 1205214194).
Provider details
- NPI number
- 1205214194
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3620 Mcclintock AveLos Angeles, CA 90089-0105Phone: (213) 740-1600
- 1660 S. Columbian WayS-116-MhcSeattle, WA 98108-1597Phone: (989) 430-9847
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Frequently asked questions
- What is Jean Kim's NPI number?
- Jean Kim's National Provider Identifier (NPI) is 1205214194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jean Kim's specialty?
- Jean Kim is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jean Kim located?
- Jean Kim's practice location on file with NPPES is 500 W. Fort St, Boise, ID 83702-4501.
- What is Jean Kim's phone number?
- The practice phone number listed in the NPPES registry for Jean Kim is (208) 422-1018.
- Does Jean Kim accept Medicare?
- Jean Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jean Kim's NPI active?
- Yes — Jean Kim's NPI (1205214194) is active in the NPPES registry as of the last update on 2024-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.