Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790012318 Individual Practitioner Female Practitioner

Dr. Grace Y Kim , PhD

Psychologist • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Grace Kim, PhD is a certified Psychologist practicing in Minneapolis, MN. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Kim delivers high-quality medical care to the local community at 825 NICOLLET MALL.

Dr. Kim maintains professional affiliations with Twin Cities Psychological Services Ltd, Kpm Counseling And Consultation Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

825 Nicollet Mall
Suite 415

Minneapolis, MN 554022606

Telephone 6123455194
Fax 6123547974
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +1.6 yrs vs City Avg
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (19 Years) 19 Yrs
Minneapolis Specialty Average (17.4 Years) 17.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-25
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP5726

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License DC PSY1000525

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.

Hospital & Practice Group Affiliations

Twin Cities Psychological Services Ltd

825 Nicollet Mall, Minneapolis, MN 554022703

Phone: 6123455194

Kpm Counseling And Consultation Pllc

825 Nicollet Mall, Minneapolis, MN 554022707

Phone: 6122082778

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Robert Reis , PhD

Psychologist - Clinical

NPI 1407185564

Doctor of Philosophy (Ph.D.)

Dr. Lindsay Holt , PsyD

Psychologist - Counseling

NPI 1679134373

Doctor of Psychology (Psy.D.)

Travis Mathias , LICSW

Social Worker - Clinical

NPI 1841706967

Licensed Independent Clinical Social Worker

Dr. Starlain Saldana , PhD

Psychologist - Clinical

NPI 1861736209

Doctor of Philosophy (Ph.D.)

Stefanie Donnelly , LPCC

Counselor - Mental Health

NPI 1881138527

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2025

Psychologist (License #LP5726 in MN)

NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 13, 2017

Registered at 825 NICOLLET MALL, SUITE 1455, MINNEAPOLIS, MN 554022606 (Tel: 6123455194)

📍
Updated Practice Location February 13, 2017

Registered at 825 NICOLLET MALL, SUITE 415, MINNEAPOLIS, MN 554022606 (Tel: 6123455194)

👤
Provider Name / Credentials Updated February 13, 2017

Recorded as GRACE KIM, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Psychologist (License #PSY1000525 in DC)

NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2014

Registered at 825 NICOLLET MALL, SUITE 415, MINNEAPOLIS, MN 554022606 (Tel: 6123455194)

📍
Updated Business Mailing Address July 10, 2014

Registered at 825 NICOLLET MALL, SUITE 415, MINNEAPOLIS, MN 554022606 (Tel: 6123455194)

👤
Provider Name / Credentials Updated July 10, 2014

Recorded as GRACE KIM, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Psychologist (License #LP5726 in MN)

🟢
Initial NPI Registration & Enumeration November 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790012318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2009
Last Update: March 25, 2025
Sole Proprietor: Yes

Mailing Address

825 Nicollet Mall, Suite 1455

Minneapolis, MN 554022606

Phone: 6123455194

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.