MR. YOUNG K KIM (NPI# 1033278973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033278973 |
| Entity Type | Individual |
| Full Name | MR. YOUNG K KIM |
| Credential | PHD |
| Practice Address |
155 Maple St Ste 301 Springfield MA 01105-1828 |
| Mailing Address |
35 Lawrence Drive Longmeadow MA 01106 |
| Practice Telephone | 4137365393 |
| Practice Fax Number | 4137365100 |
| Mailing Telephone | 4135676724 |
| Mailing Fax Number | 4135675441 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6044 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0520772 | 05 | |
| MA | BLUE CROSS BS | W04819 | 01 |
| MA | BMC HEALTH NET | 000000020085 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1083176523 | Young K Kim | Acupuncturist | 1027 4th Ave, Los Angeles, CA 90019-2018 | 2019-04-03 |
| 1336611938 | Young Ho Kim | Acupuncturist | 2966 Wilshire Blvd # A, Los Angeles, CA 90010-1128 | 2018-12-20 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1467980482 | Young Mi Kim | Social Worker | 22252 Parched Dr, Calabasas, CA 91302-6117 | 2017-06-03 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1801347992 | Young O Kim | Acupuncturist | 3000 W Olympic Blvd Ste 301, Los Angeles, CA 90006-6512 | 2016-10-24 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1700207941 | Young Kim | Internal Medicine | 251 Campus Drive Room X3c46 Medical School Office Bdg, Division of General Medical Disciplines, Stanford, CA 94305 | 2013-12-13 |
| 1245584804 | Young Kyu Kim | Acupuncturist | 3130 Wilshire Blvd Ste 308, Los Angeles, CA 90010-1206 | 2012-11-05 |
| Street Address |
155 MAPLE ST STE 301 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205864998 | Deborah A. Fein | Clinical Neuropsychologist | 155 Maple St, Suite 407, Springfield, MA 01105-1828 | 2006-06-29 |
| 1083215669 | Fatima Abdelmagid | Counselor | 155 Maple St, Springfield, MA 01105-2649 | 2020-11-02 |
| 1316572324 | Maria Arias | Counselor | 155 Maple St, Springfield, MA 01105-2649 | 2020-03-10 |
| 1508498825 | Sabine Cayo-saylor | Registered Nurse | 155 Maple St, Springfield, MA 01105-2649 | 2020-02-05 |
| 1770113078 | Joanna R Miles | Psychologist | 155 Maple St, Springfield, MA 01105-2649 | 2020-01-25 |
| 1174069025 | Catherine Caplis | Psychologist | 155 Maple St, Suite 203, Springfield, MA 01105-2649 | 2017-01-17 |
| 1043752306 | Alisa Beaver | Psychologist | 155 Maple St, Suite 207, Springfield, MA 01105-2649 | 2016-11-17 |
| 1235686270 | David Nnyanzi | Counselor | 155 Maple St, Unit 207, Springfield, MA 01105-2649 | 2016-09-07 |
| 1659730257 | Excelsure Homes Health Care Solutions LLC | Home Health | 155 Maple St, Suite 409, Springfield, MA 01105-2649 | 2016-02-11 |
| 1811352818 | Barbara Marie Robinson | Specialist | 155 Maple St, 304, Springfield, MA 01105-2649 | 2015-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509187 | Laura M Maggio | Psychologist | 11 Stephanie Cir, Springfield, MA 01129-1961 | 2020-05-08 |
| 1215556386 | Lotus Healing Center LLC | Psychologist | 28 Millburn Ave Ste 6, Springfield, NJ 07081-1023 | 2020-04-09 |
| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1689126120 | Assessment Consultants, LLC | Psychologist | 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 | 2016-11-01 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1669929907 | Richart Lipe Demier | Psychologist | 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 | 2016-09-03 |
| 1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
| 1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
| 1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
| 1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on MR. YOUNG K KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.