Individual provider · Type 1 NPI

Myeong Jin Kim, PSY.D

Clinical Psychologist · New York, NY

NPI number 1396124707 Active

Practice location

1745 Broadway Fl 17
New York, NY 10019-4642

Call (212) 851-8102 Map

Fax (212) 537-0102

Mailing address

475 48th Ave Apt 219
Long Island City, NY 11109-5503

Other practice locations

22215 Northern Blvd, C1, Bayside, NY 11361-3678 · (917) 504-1606
475 48th Ave Apt 219, Long Island City, NY 11109-5503 · (917) 504-1606
25220 Northern Blvd Ste 202, Little Neck, NY 11362-1344 · (917) 504-1606

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	021616 (NY)
Clinical Psychologist Primary	103TC0700X	021616 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1396124707

Myeong Jin Kim, PSY.D's National Provider Identifier is 1396124707, issued on May 19, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Sep 15, 2020.