M KIM WELLNESS (NPI# 1467070540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467070540 |
| Entity Type | Organization |
| Organization Name | M KIM WELLNESS |
| Practice Address |
104 Forbes St Ste 205 Annapolis MD 21401-1598 |
| Practice Telephone | 4438082680 |
| Mailing Telephone | 4438082680 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-09-13 |
| Authorized Official Name | MIN JEE KIM (CLINICIAN) |
| Authorized Official Telephone | 4438082680 |
| Authorized Official Credential | MS, LGPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
104 FORBES ST STE 205 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528568854 | Kevin S Cameron, Lcsw-c, LLC | Social Worker | 104 Forbes St Ste 205, Annapolis, MD 21401-1598 | 2018-02-13 |
| 1942827829 | Min Jee Kim | Counselor | 104 Forbes St Ste 205, Annapolis, MD 21401-1598 | 2020-06-26 |
| 1386275659 | Mary F. Doyle | Psychiatry & Neurology | 104 Forbes St Ste 205, Annapolis, MD 21401-1598 | 2020-01-27 |
| 1417420407 | Linda Fiesta | Counselor | 104 Forbes St Ste 205, Annapolis, MD 21401-1598 | 2019-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376015206 | Spire Health, LLC | Clinic/Center | 1125 West St Ste 316, Annapolis, MD 21401-4198 | 2018-12-17 |
| 1316557051 | Matclinic Physicians Practice Group LLC | Clinic/Center | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2020-08-07 |
| 1366052326 | Cedar Counseling & Wellness, LLC | Clinic/Center | 1997 Annapolis Exchange Pkwy Ste 300, Annapolis, MD 21401-3273 | 2020-08-05 |
| 1124637285 | Mind Performance LLC | Clinic/Center | 209 West St Ste 201, Annapolis, MD 21401-3644 | 2020-07-24 |
| 1144872409 | Arundel Lodge, Inc | Clinic/Center | 92 W Washington St, Annapolis, MD 21401-2432 | 2019-07-16 |
| 1962980748 | Project Chesapeake, LLC | Clinic/Center | 185 Admiral Cochrane Dr, Annapolis, MD 21401-7493 | 2018-08-02 |
| 1174025175 | Project Chesapeake, LLC | Clinic/Center | 34 Defense St Ste 100, Annapolis, MD 21401-3578 | 2018-03-06 |
| 1265812549 | Committed To Change,p.c. | Clinic/Center | 420 Chinquapin Round Rd, Suite 2-i, Annapolis, MD 21401-4006 | 2015-06-02 |
| 1023495827 | Guiding Minds Therapeutic Counseling Center | Clinic/Center | 2525 Riva Rd, Annapolis, MD 21401-7411 | 2015-04-30 |
| 1245626464 | Committed To Change, P.C. | Clinic/Center | 420 Chinquapin Round Rd, Suite 2-i, Annapolis, MD 21401-4006 | 2015-04-14 |
| Find all providers in ANNAPOLIS | ||||
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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.