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Active NPI 1457472730 Individual Practitioner Female Practitioner

Dr. Eunae Christina Kim , PhD

Psychologist • Bayside, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eunae Kim, PhD is a certified Psychologist practicing in Bayside, NY. With approximately 20 years of clinical experience since graduating from Fordham University School Of Medicine in 2006, Dr. Kim delivers high-quality medical care to the local community at 21150 45TH DR.

Dr. Kim is affiliated with Senior Care Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation, psychotherapy, psychiatric services complicated by communication factor. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21150 45th Dr

Bayside, NY 113613357

Telephone 7185785242
Associated Practice Facility / Clinic
🏢 Pl Pmr Medical Pc Facility NPI 1316350481

Medicare Profile & Education

Medical School

Fordham University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bayside, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +1.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Bayside, NY (5379 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (20 Years) 20 Yrs
Bayside Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
1,021 971 $224.16 $155.66
90832 Psychotherapy, 30 minutes
902 492 $109.28 $71.55

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NJ 35S100510500

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License NY 001524

Definition to come...

Psychologist

NUCC Taxonomy Code: 103T00000X

State License NY 017463

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Psychologist
017463 (NY)
Commercial Insurance / Payer ID Mental Health
001524 (NY)
Commercial Insurance / Payer ID Psychology License
35S100510500 (NJ)

Hospital & Practice Group Affiliations

Senior Care Therapy Llc

85 Crescent Ave, Passaic, NJ 070552437

Phone: 9732640023

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2013

Registered at 21150 45TH DR, BAYSIDE, NY 113613357 (Tel: 7185785242)

📍
Updated Business Mailing Address November 05, 2013

Registered at 1018 PALISADE AVE, APT # 3, FORT LEE, NJ 070246300 (Tel: 7185785242)

👤
Provider Name / Credentials Updated November 05, 2013

Recorded as EUNAE KIM, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2013

Counselor (License #001524 in NY)

🟢
Initial NPI Registration & Enumeration April 03, 2007

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: 1457472730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: November 05, 2013
Sole Proprietor: Yes

Mailing Address

1018 Palisade Ave, Apt # 3

Fort Lee, NJ 070246300

Phone: 7185785242

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.