JEAN KIM (NPI# 1205214194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205214194 |
| Entity Type | Individual |
| Full Name | JEAN KIM |
| Credential | PHD |
| Practice Address |
1660 S. Columbian Way S-116-mhc Seattle WA 98108-1597 |
| Practice Telephone | 9894309847 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60847665 | WA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 Mcclintock Ave, Los Angeles, CA 900890105 | 2137401600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801342100 | Jean Kim | Dentist | Deon Square, 532 S Oxford Valley Rd, Fairless Hills, PA 19030 | 2016-08-28 |
| 1730563107 | Jean Kim | Dentist | 2571 Baglyos Cir Ste B23, Bethlehem, PA 18020-8051 | 2015-07-16 |
| 1780691170 | Jean H Kim | Internal Medicine | 7905 Calument Ave, Munster, IN 46321-2549 | 2006-08-01 |
| 1629097290 | Jean Hojin Kim | Optometrist | 9618 Garden Grove Blvd, Suite 109, Garden Grove, CA 92844-1563 | 2006-07-18 |
| 1659333466 | Jean Kim | Psychiatry & Neurology | 10903 New Hampshire Ave, Food and Drug Administration (fda), Silver Spring, MD 20903-1058 | 2006-04-05 |
| 1245897313 | Jean Kim | Internal Medicine | 1356 Lusitana St Fl 7, Honolulu, HI 96813-2409 | 2019-05-23 |
| 1518491968 | Jean Kim | Hospitalist | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-04-12 |
| 1285980367 | Jean Hee Kim | Dentist | 1905 S Marshall St, Boone, IA 50036-5401 | 2012-07-26 |
| 1356528871 | Jean Y Kim | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-01-28 |
| 1316145659 | Jean Young-yum Kim | Dentist | 401 Gregory Ln, Pleasant Hill, CA 94523-2800 | 2007-07-09 |
| Street Address |
1660 S. COLUMBIAN WAY S-116-MHC |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144339078 | Lucy Y Wang | Psychiatry & Neurology | 1660 S. Columbian Way, S-116-mhc, Seattle, WA 98108 | 2006-08-30 |
| 1598230013 | Aaron Martin Norr | Psychologist | 1660 S. Columbian Way, S-116 Mhc, Seattle, WA 98108 | 2018-10-11 |
| 1326537218 | Teresa Joy Townsend | Occupational Therapist | 1660 S. Columbian Way, Ms Sci-128, Seattle, WA 98108 | 2018-05-07 |
| 1063677813 | Bruce Allen Wyllie | Nurse Practitioner | 1660 S. Columbian Way, Va Puget Sound Health Care System, Seattle, WA 98108-1597 | 2008-07-22 |
| 1619058666 | Tara May Stablein | Social Worker | 1660 S. Columbian Way, Seattle, WA 98108 | 2006-10-18 |
| 1083700322 | Margaret Campbell Hammond | Physical Medicine & Rehabilitation | 1660 S. Columbian Way, Sci 128nat, Seattle, WA 98108 | 2006-10-05 |
| 1821183575 | Annie S. Chiu Cheng | Physical Medicine & Rehabilitation | 1660 S. Columbian Way, S-117-rcs, Seattle, WA 98108-1597 | 2006-10-04 |
| 1174619886 | Vincent Sh-yeh Fan | Internal Medicine | 1660 S. Columbian Way, Va Puget Sound Health Care System, Seattle, WA 98108 | 2006-10-04 |
| 1205921673 | David Jonathan Glickerman | Radiology | 1660 S. Columbian Way, (113), Seattle, WA 98108 | 2006-10-03 |
| 1437244829 | Alice Marie Hansen | Respiratory Therapist, Registered | 1660 S. Columbian Way, Seattle, WA 98332 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
| Find all providers in SEATTLE | ||||
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| 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.