Dr. Jacqueline Kim , PhD
Psychologist • Orange, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacqueline Kim has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jacqueline Kim, PhD was a registered Psychologist in Orange, CA. Prior to record deactivation on 2021-05-28, Dr. Kim completed approximately 4 years of clinical practice following graduation from University Of Michigan Medical School in 2017.
Dr. Kim was affiliated with Uc Regents and accepted Medicare assignment.
Practice Location & Contact Primary Location
101 The City Dr S
Orange, CA 928683201
Medicare Profile & Education
University Of Michigan Medical School
2017
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Orange, CA
Practicing in Orange, CA (7695 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2025-10-09NUCC Taxonomy Code: 103T00000X
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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
NUCC Taxonomy Code: 103TC0700X
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 specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Hospital & Practice Group Affiliations
Uc Regents
101 The City Dr S, Orange, CA 928683201
Phone: 7144567004
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics - Pediatric Hematology-Oncology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Doctor of Nursing Practice, Family Nurse Practitioner (Certified)
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Internal Medicine - Hematology & Oncology
Nurse Practitioner
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 101 THE CITY DR S, ORANGE, CA 928683201 (Tel: 7144568000)
Registered at 101 THE CITY DR S, ORANGE, CA 928683201
Registered at 1141 S GARFIELD AVE STE 200, ALHAMBRA, CA 918014714 (Tel: 6265882825)
Registered at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 900455631
Recorded as JACQUELINE KIM, PHD
Psychologist (License #32623 in CA)
Record deactivated on May 28, 2021
NPI status registered as active in NPPES database
Registered at 500 E WASHINGTON ST, SUITE 100, ANN ARBOR, MI 481042057 (Tel: 7347633471)
Registered at 1718 MCINTYRE ST, ANN ARBOR, MI 481052417
Recorded as HYO JU KIM
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
101 The City Dr S
Orange, CA 928683201
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