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

Jean M. Kim, PHD

Individual provider Psychologist · NPI 1205214194

Jean M. Kim, PHD is a Psychologist in Boise, Idaho. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2015
Specialties on file
3
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

500 W Fort St Crh 2nd Fl
Boise, ID 83702-4501
Phone: (208) 422-1018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3620 McClintock Ave, Los Angeles, CA 90089-0105 — (213) 740-1600
  • 1660 S. Columbian Way, Seattle, WA 98108-1597 — (989) 430-9847

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY60847665 (WA)
Psychologist Taxonomy 103T00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205214194
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address1660 S. Columbian Way, S-116-Mhc, Seattle, WA 98108-1597

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