KARISSA LEIGH KIM (NPI# 1144737453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144737453 |
| Entity Type | Individual |
| Full Name | KARISSA LEIGH KIM |
| Practice Address |
2001 The Alameda San Jose CA 95126-1136 |
| Mailing Address |
300 Union Ave Apt 37 Campbell CA 95008-4231 |
| Practice Telephone | 4082617777 |
| Practice Fax Number | 4082592273 |
| Mailing Telephone | 4084607888 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT37935 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619185378 | Karissa Y Kim | Pharmacist | 7626 University Drive, West Chester, OH 45069 | 2007-05-18 |
| Street Address |
2001 THE ALAMEDA |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952406605 | Julius Howmin Fu | Psychiatry & Neurology | 2001 The Alameda, Alliance for Community Care, San Jose, CA 95126-1136 | 2006-09-14 |
| 1134727688 | Ruyi Sun | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-15 |
| 1184222101 | Richard Doug Mills | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-12 |
| 1790382679 | Kathleen Devon Grey | Marriage & Family Therapist | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-05 |
| 1083220040 | Debra Lee Wilson | Registered Nurse | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-16 |
| 1750996724 | Stephanie Mary Neutz | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-15 |
| 1710590708 | Lerissa Evans | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-28 |
| 1629680921 | Amy Christina Vaverka | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-18 |
| 1558972695 | Jeannette Elizabeth Martello | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-12 |
| 1124639570 | Jennifer Alaimo | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
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| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716705 | Esmeralda Tinoco | Licensed Psychiatric Technician | 871 Enborg Court, San Jose, CA 95128 | 2018-07-06 |
| 1346754025 | Isata S Mbawa | Licensed Psychiatric Technician | 4987 Speak Ln, San Jose, CA 95118-2767 | 2017-11-16 |
| 1629512421 | Godwin Kebila Kaba | Licensed Psychiatric Technician | 344 Los Pinos Way, San Jose, CA 95123-5117 | 2016-12-13 |
| 1457762767 | Baltazar Pulido | Licensed Psychiatric Technician | 2459 Jubilee Ln, San Jose, CA 95131-1987 | 2014-05-08 |
| 1750404570 | Jose Soliz | Licensed Psychiatric Technician | 277 Omira Dr, San Jose, CA 95123-3635 | 2007-04-08 |
| 1437756913 | Juan Ramon Zago | Licensed Psychiatric Technician | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2020-10-07 |
| 1851916415 | Zekarias Eyassu | Licensed Psychiatric Technician | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2020-06-10 |
| 1780207571 | Andrea Hernandez | Licensed Psychiatric Technician | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-05-27 |
| 1700426350 | Christianna Paula Mathews | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-01-12 |
| 1376189928 | Alma Valencia Chacon | Licensed Psychiatric Technician | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-11-19 |
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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.