Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902512650 Individual Practitioner Female Practitioner

Jackie Sihyun Kim

Speech-Language Pathologist • Cambridge, MA

Professional Overview & Biography Verified Profile Summary

Jackie Kim is a registered healthcare professional specializing in Speech-Language Pathologist in Cambridge, MA. Practice services are available at 1493 CAMBRIDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1493 Cambridge St

Cambridge, MA 021391047

Telephone 4077293863
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cambridge, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Cambridge, MA (4034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 78676

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Zachary Oliff , DO

Emergency Medicine

NPI 1003300492

Doctor of Osteopathic Medicine (D.O.)

Jacob Wolfe , LICSW

Social Worker - Clinical

NPI 1003315938

Licensed Independent Clinical Social Worker

Sarah-Jo Santilli , RN

Registered Nurse

NPI 1003380239

Registered Nurse

Julie Mercer

Registered Nurse

NPI 1003386731
Taiana Katsaras , LICSW

Social Worker - Clinical

NPI 1003461765

Licensed Independent Clinical Social Worker

Angela De Silva

Registered Nurse - Ambulatory Care

NPI 1003522863

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2023

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 4077293863)

📍
Updated Business Mailing Address February 22, 2023

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 6177588039)

👤
Provider Name / Credentials Updated February 22, 2023

Recorded as JACKIE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2023

Speech-Language Pathologist (License #78676 in MA)

🟢
Initial NPI Registration & Enumeration January 26, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902512650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2023
Last Update: February 22, 2023
Sole Proprietor: No

Mailing Address

1493 Cambridge St

Cambridge, MA 021391047

Phone: 6177588039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.