CHANG W KIM (NPI# 1447375340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447375340 |
| Entity Type | Individual |
| Full Name | CHANG W KIM |
| Practice Address |
1500 Waters Pl Bronx NY 10461-2723 |
| Mailing Address |
596c Heritage Hls Somers NY 10589-1908 |
| Practice Telephone | 7189310600 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
113502 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 113502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036475 | Chang Kim | Dentist | 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6118 | 2016-07-06 |
| 1285019059 | Chang Kim | Chiropractor | 2576 Royal Ln, Dallas, TX 75229-3417 | 2015-07-22 |
| 1902242258 | Chang Sung Kim | Chiropractor | 2391 Bell Blvd Ste 205, Bayside, NY 11360-2019 | 2013-05-14 |
| 1528373511 | Chang H. Kim | Acupuncturist | 9401 Mathy Dr Ste 100, Fairfax, VA 22031 | 2010-08-13 |
| 1568641199 | Chang K Kim | Acupuncturist | 326 Reservation Rd, Suite E, Marina, CA 93933-3257 | 2007-10-31 |
| 1063516458 | Chang Nam Kim | Psychiatry & Neurology | 1200 Us Highway 46, Clifton, NJ 07013-2440 | 2006-09-07 |
| 1104883768 | Chang Kwon Kim | Surgery | 0n300 Armstrong Ln, Geneva, IL 60134-6081 | 2006-04-27 |
| 1477971430 | Chang Hoon Kim | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-04-06 |
| 1942339676 | Chang Choo Kim | Counselor | 35425 W Michigan Ave, Wayne, MI 48184-1687 | 2007-03-06 |
| 1720152507 | Chang O. Kim | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-11-20 |
| Street Address |
1500 WATERS PL |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215010988 | Bronx State Hospital | Psychiatric Hospital | 1500 Waters Pl, Bronx, NY 10461-2723 | 2006-10-24 |
| 1093313462 | Sutthiwut Paul Klamsathien | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2020-10-16 |
| 1780228056 | Helen Sikeade Oladunjoye | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-30 |
| 1821631375 | Pingping Liu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-28 |
| 1043853021 | Juan Ma | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-23 |
| 1992347421 | Pamela Walthall | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-16 |
| 1205478096 | Victoria Chima Duru-tanksley | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-13 |
| 1205478179 | Beryl Pearl Nwachukwu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-12 |
| 1275175192 | Alma Grace P. Oliva | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
| 1265074132 | Kechner Moise | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561214 | Stella Obiageli Ukadike | Psychiatry & Neurology | 1420 Waters Pl, Bronx, NY 10461-2719 | 2019-10-31 |
| 1821632092 | Nkechi Dorothy Nzekwe | Psychiatry & Neurology | 1430 Waters Pl, Bronx, NY 10461-2719 | 2019-10-31 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1336683481 | Comprehensive Behavior Care Solutions PC | Psychiatry & Neurology | 3050 Corlear Ave Ph B, Bronx, NY 10463-5184 | 2016-12-08 |
| 1073957676 | Thomas C Yang | Psychiatry & Neurology | 1621 Eastchester Rd Ste 115, Bronx, NY 10461-2604 | 2013-04-25 |
| 1093088502 | Wingspan Psychiatric, LLC | Psychiatry & Neurology | 981 Morris Park Ave Apt 2a, Bronx, NY 10462-3766 | 2012-02-14 |
| 1598054298 | Alison Welch | Psychiatry & Neurology | 4401 Bronx Blvd Fl 3, Bronx, NY 10470-1407 | 2011-04-04 |
| 1295045151 | Holly Roberts | Psychiatry & Neurology | 2012 Grand Concourse, Bronx, NY 10456-1111 | 2010-10-13 |
| 1912216060 | Noble Ashworth Endicott Jr. | Psychiatry & Neurology | 600 W 246th St., (apt 1203), Bronx, NY 10471 | 2010-10-06 |
| 1194036160 | Clewert G. Sylvester | Psychiatry & Neurology | 111 East 210th Street Montefiore Medical Center, Anxiety & Depression Program (psychiatry), Bronx, NY 10467-2490 | 2010-06-24 |
| Find all providers in BRONX | ||||
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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.