P Praxis·MD
● Active Type 1 · Individual

Jean M. Kim, PHD

Psychologist·Boise, ID· NPI 1205214194 · Enumerated 2015 · 11 years on NPI
Kim is 1 of 97 psychologist providers in Boise and 1 of 235 in Idaho.
NPI age
11 years
Enumerated 2015-05-11
Primary specialty
Psychologist
Plus 2 subspecialties
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Practice location
500 W. Fort St, Crh, 2nd Floor
Boise, ID 837024501
📞 2084221018
Mailing address
1660 S. Columbian Way, S-116-Mhc
Seattle, WA 981081597

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3620 McClintock Ave
Los Angeles, CA 900890105
📞 2137401600
Location 3
1660 S. Columbian Way, S-116-Mhc
Seattle, WA 981081597
📞 9894309847

Specialties

  • Psychologist Primary
    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...
    WA license #PY60847665 taxonomy 103TC0700X
  • Psychologist
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    taxonomy 103T00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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