JI YUN KANG (NPI# 1376165910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376165910 |
| Entity Type | Individual |
| Full Name | JI YUN KANG |
| Other Name | JIYUN KANG |
| Credential | PH.D., LP |
| Practice Address |
610 E John St Rm 236 Champaign IL 61820-5717 |
| Mailing Address |
5 Evergreen Cir Apt B Savoy IL 61874-8717 |
| Practice Telephone | 2173333704 |
| Mailing Telephone | 2179049556 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071.009777 | IL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY31197 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Evergreen Cir Apt B, Savoy, IL 618748717 | 2179049556 |
| Street Address |
610 E JOHN ST RM 236 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789688 | Dynesha Dione Mason-grissom | Psychologist | 2500 Galen Dr Ste 104, Champaign, IL 61821-7038 | 2018-11-13 |
| 1518209030 | Lisa Kinderman | Psychologist | 801 Hessel Blvd, Champaign, IL 61820-6342 | 2013-03-22 |
| 1851663256 | Teresa L Davenport | Psychologist | 201 W Springfield Ave Ste 211, Champaign, IL 61820 | 2012-01-31 |
| 1023200326 | Kathryn Leskis | Psychologist | 301 N Neil St Ste 210, Champaign, IL 61820-3166 | 2007-08-10 |
| 1386777167 | Elaine Zeporah Jacobson | Psychologist | 1 Greencroft Dr, Champaign, IL 61821-5118 | 2007-03-13 |
| 1275642969 | Susan Elaine Minyard | Psychologist | 1701 South Prospect Avenue, Suite 8, Champaign, IL 61820-7050 | 2006-08-29 |
| 1780618595 | Joseph S Alper | Psychologist | 2008 Scottsdale Dr, Champaign, IL 61822-7641 | 2006-07-10 |
| 1003456369 | Rachael D Rubin | Psychologist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-01-14 |
| 1558869081 | Kristin E Thies | Psychologist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2018-01-30 |
| 1689018624 | Muge Dizen | Psychologist | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2013-04-22 |
| Find all providers in CHAMPAIGN | ||||
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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.