MR. JAE HOON KIM (NPI# 1760726525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760726525 |
| Entity Type | Individual |
| Full Name | MR. JAE HOON KIM |
| Other Name | JAEHOON KIM |
| Credential | CRNP-PMH |
| Practice Address |
7201 Wisconsin Ave Ste 450 Bethesda MD 20814-4835 |
| Practice Telephone | 2022364669 |
| Mailing Telephone | 2022364669 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2020-07-23 |
| NPI Deactivation Date | 07/10/2020 |
| NPI Reactivation Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024178821 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R189134 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 822275 | 05 | |
| MD | 587108500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 E Diamond Ave Ste 100a, Family Services, Inc./omhc, Gaithersburg, MD 208775323 | 3018403200 | 3018401348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265805683 | Jae Hoon Kim | Chiropractor | 10005 Roosevelt Ave, Suite 202, Corona, NY 11368-4880 | 2015-11-06 |
| Street Address |
7201 WISCONSIN AVE STE 450 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011205 | Lazarus Psychiatry, LLC. | Clinic/Center | 7201 Wisconsin Ave Ste 450, Room 175, Bethesda, MD 20814-4835 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145468 | Francine Mefeussom Kamhoua | Nurse Practitioner | 4401 E West Hwy # 504, Bethesda, MD 20814-4523 | 2020-08-19 |
| 1851903454 | Wiseminds Center for Integrative Telepsychiatry | Nurse Practitioner | 4701 Sangamore Rd Ste N100, Bethesda, MD 20816-2558 | 2020-08-17 |
| 1801413448 | Stephine Oparaugo | Nurse Practitioner | 4901 Battery Ln Apt 3, Bethesda, MD 20814-4902 | 2020-06-30 |
| 1295208593 | Mindview Behavioral Health and Wellness | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-01-09 |
| 1679967889 | Sasha Tova Bergeron | Nurse Practitioner | 8030 Woodmont Ave Fl 3, Bethesda, MD 20814-3027 | 2015-03-25 |
| 1093025462 | Chana Rose Engel | Nurse Practitioner | 9000 Rockville Pike Nih Nimh, Bldg 10, Rm 1-3633, Bethesda, MD 20892-0001 | 2010-10-19 |
| 1518953371 | Betsy Brach | Nurse Practitioner | 8313 Fenway Rd, Bethesda, MD 20817-2734 | 2005-09-26 |
| 1033722962 | Francis Aneke | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2020-08-29 |
| 1114562246 | Ebonique Katress Mcclinnahan | Nurse Practitioner | 8901 Wisconsin Ave, Bethesda, MD 20889-4701 | 2019-11-13 |
| 1689217143 | Dr. Joanne Psychiatry LLC | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-10-28 |
| Find all providers in BETHESDA | ||||
Please comment or provide details below to improve the information on MR. JAE HOON KIM.
| 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.