Jacqueline Kim, PHD in Orange, CA - Medicare Psychologist Provider

Jacqueline Kim, PHD is a medicare enrolled "Psychologist" provider in Orange, California. Her current practice location is 101 The City Dr S, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 456-8000.

Jacqueline Kim is licensed to practice in California (license number 32623) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487095501.

Contact Information

	Jacqueline Kim, PHD
	101 The City Dr S, Orange, CA 92868-3201
	(714) 456-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Kim
Gender	Female
Speciality	Psychologist
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487095501
Provider Enumeration Date: 07/17/2013
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9638572233
Enrollment ID: I20210720001892

Medical Identifiers

Medical identifiers for Jacqueline Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487095501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	32623 (California)	Primary
103TC0700X	Psychologist - Clinical	32623 (California)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqueline Kim, PHD 101 The City Dr S, Orange, CA 92868-3201 Ph: () -	Jacqueline Kim, PHD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-8000

Reviews and Comments

Psychologist in Orange, CA

Dr. Azin Asli, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 City Pkwy W Ste 200, Orange, CA 92868 Phone: 714-834-5015
Dr. Marni Carmela Switkin Nagel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, 503, Orange, CA 92868 Phone: 714-532-8481 Fax: 714-532-8756
Fatima Marie Coley, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 The City Drive South 2nd Fl (mob #44), Orange, CA 92868 Phone: 323-525-6400 Fax: 323-565-2133
Dr. Jeffrey Derflinger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 746 E Chapman Ave, Orange, CA 92866 Phone: 949-725-7156
Lawrence Eugene Hedges, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1439 E Chapman Ave, Orange, CA 92866 Phone: 714-633-3933 Fax: 714-633-3933
Frances Rose Dowdy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6829 E Pinnacle Pointe, Orange, CA 92869 Phone: 714-325-2263
Dr. Andrew Christopher Kami, PHD, MFT, MSCP, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N State College Blvd Ste 1100, Orange, CA 92868 Phone: 323-242-5000

Jacqueline Kim, PHD - Medicare Psychologist in Orange, CA