Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Kim, PHD

Individual provider Psychologist · NPI 1487095501

Jacqueline Kim, PHD is a Clinical Psychologist in Orange, California. Graduated from University of Michigan Medical School in 2017, 9 years ago. Practices with Uc Regents, a 306-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
University of Michigan Medical School
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 32623 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 32623 (CA)

Record details

NPI number1487095501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 17, 2013
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address101 The City Dr S, Orange, CA 92868-3201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Uc Regents — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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