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

Mina Kim

Individual provider Psychologist · NPI 1801559133

Mina Kim is a Clinical Psychologist in Fairfax, Virginia. Graduated from Temple University School of Medicine in 2018, 8 years ago. Registered with an NPI since 2021.

Years since qualifying
8
Trained at
Temple University School of Medicine
In the registry since
2021
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Practice location Address checks out

8280 Willow Oaks Corporate Dr
Fairfax, VA 22031-4518
Phone: (571) 472-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1801559133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2021
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address8280 Willow Oaks Corporate Dr, Fairfax, VA 22031-4518

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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