Jeanne Kim, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Chatsworth, California. Her current practice location is
21053 Devonshire St, Suite 101, Chatsworth, California. You can reach out to her office (for appointments etc.) via phone at
(818) 726-5326.
Jeanne Kim is licensed to practice in California (license number PSY22888) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447589692.
Healthcare Provider's Profile
Full Name | Jeanne Kim |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 21053 Devonshire St, Chatsworth, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447589692
- Provider Enumeration Date: 12/17/2009
- Last Update Date: 09/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 3678608742
- Enrollment ID: I20100315000288
Medical Identifiers
Medical identifiers for Jeanne Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447589692 | NPI | - | NPPES |
PSY228880 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0700X | Psychologist - Adult Development & Aging | PSY22888 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY22888 (California) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY22888 (California) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY 22888 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanne Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeanne Kim, PSYD 21053 Devonshire St, Suite 101, Chatsworth, CA 91311-2364 Ph: () - | Jeanne Kim, PSYD 21053 Devonshire St, Suite 101, Chatsworth, CA 91311-2364 Ph: (818) 726-5326 |
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