Ray Kim, PHD
NPI 1912906116 · Psychologist · Crystal Lake, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ray Kim, PHD is a Psychologist provider in Crystal Lake, IL (NPI 1912906116).
Provider details
- NPI number
- 1912906116
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 071-005373 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2012-07-05
Frequently asked questions
- What is Ray Kim's NPI number?
- Ray Kim's National Provider Identifier (NPI) is 1912906116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ray Kim's specialty?
- Ray Kim is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Ray Kim located?
- Ray Kim's practice location on file with NPPES is 500 Coventry Ln, Crystal Lake, IL 60014-7579.
- What is Ray Kim's phone number?
- The practice phone number listed in the NPPES registry for Ray Kim is (815) 455-7100.
- Does Ray Kim accept Medicare?
- Ray Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ray Kim's NPI active?
- Yes — Ray Kim's NPI (1912906116) is active in the NPPES registry as of the last update on 2012-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.