DR. MAY JUNG KIM (NPI# 1679546808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679546808 |
| Entity Type | Individual |
| Full Name | DR. MAY JUNG KIM |
| Credential | PH.D. |
| Practice Address |
7300 Wyndham Dr Sacramento CA 95823-4913 |
| Practice Telephone | 9165256235 |
| Mailing Telephone | 9165256235 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY20999 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 6301012879 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH CREDENTIALING | 11548989 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386844744 | May Kim | Family Medicine | 1020 Flower Mound Rd Ste 100, Flower Mound, TX 75028-3440 | 2007-07-23 |
| 1912464371 | May Kim | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2019-02-21 |
| 1407223357 | May Kim | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-08-26 |
| Street Address |
7300 WYNDHAM DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144714627 | Phoebe Parnelle Sewell | Audiologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2018-06-19 |
| 1306378799 | Calvin Lieu | Pharmacist | 7300 Wyndham Dr, Pharmacy Department, Sacramento, CA 95823-4913 | 2017-04-03 |
| 1215468616 | Ngocdiem Vo | Pharmacist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2017-03-27 |
| 1316478639 | Tuyen Lam | Pharmacist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2017-03-27 |
| 1316331788 | Sharon Xiaoyue Li | Otolaryngology | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2015-03-24 |
| 1942558218 | Joshua Michael Nitenson | Audiologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2012-08-17 |
| 1053674283 | Shabrina Azim | Counselor | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2012-06-22 |
| 1154683308 | Edna Lila Ochoa | Social Worker | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2012-06-13 |
| 1003103763 | Tyler Christian Oakes | Audiologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2011-07-01 |
| 1326363409 | Thomas Richard O'toole | Otolaryngology | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1396058780 | Lenore A Tate | Clinical Neuropsychologist | 2030 W El Camino Ave Ste 200, Sacramento, CA 95833-1867 | 2010-07-14 |
| 1588816391 | Maria Moleski | Clinical Neuropsychologist | 2631 Phyllis Ave, Sacramento, CA 95820-4642 | 2008-10-13 |
| 1659530129 | Glenn Alan Hammel | Clinical Neuropsychologist | 1061 Sagamore Way, Sacramento, CA 95822-1714 | 2008-06-09 |
| 1710150685 | John J. Wicks | Clinical Neuropsychologist | 2128 V St, Sacramento, CA 95818-1732 | 2008-04-10 |
| 1003029471 | Lawrence Manley Wilcox | Clinical Neuropsychologist | 1421 P St., #16, Sacramento, CA 95814-5921 | 2007-05-08 |
| 1649326810 | Grant L. Hutchinson | Clinical Neuropsychologist | 730 Alhambra Blvd, Suite 205, Sacramento, CA 95816-3847 | 2007-01-28 |
| 1700934247 | Nancy Bell Mahaney | Clinical Neuropsychologist | 1555 River Park Dr, Suite 205, Sacramento, CA 95815-4612 | 2007-01-08 |
| 1093874133 | Catherine Elise Broomand | Clinical Neuropsychologist | 2345 Fair Oaks Blvd # 14, Sacramento, CA 95825-4708 | 2006-12-06 |
| 1962598284 | June Paltzer | Clinical Neuropsychologist | 1329 Howe Avenue, Suite 201, Sacramento, CA 95825-3363 | 2006-10-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.