EUNSUNG KIM (NPI# 1295376432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295376432 |
Entity Type | Individual |
Full Name | EUNSUNG KIM |
Credential | LMSW |
Practice Address |
4332 22nd St Ste 203 Long Island City NY 11101-5077 |
Mailing Address |
4310 Crescent St Apt 1011 Long Island City NY 11101-4243 |
Practice Telephone | 9172431667 |
Mailing Telephone | 6178179811 |
Enumeration Date | 2019-09-30 |
Last Update Date | 2019-09-30 |
Gender Code | F |
Is Sole Proprietor | Y |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306371695 | Eunsung Elisa Kim | Student in an Organized Health Care Education/Training Program | 14023 Southwest Fwy, Sugar Land, TX 77478-3550 | 2017-04-25 |
Street Address |
4332 22ND ST STE 203 |
City | LONG ISLAND CITY |
State | NY |
Zip Code | 11101-5077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407231491 | Donghyun Seo | Physical Therapist | 4332 22nd St Ste 203, Long Island City, NY 11101-5077 | 2015-07-20 |
1134753718 | Do-soo Orthopedic Physical Therapy, Pllc | Physical Therapist | 4332 22nd St Ste 203, Long Island City, NY 11101 | 2020-02-23 |
1588205272 | Damien Tilliman | Psychologist | 4332 22nd St Ste 203, Long Island City, NY 11101-5077 | 2019-10-03 |
1093362816 | Mind In Motion Psychological Services, Pllc | Clinic/Center | 4332 22nd St Ste 203, Long Island City, NY 11101-5077 | 2019-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
Find all providers in zip 11101 |
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 |
---|---|---|---|---|
1669730826 | Long Island City Psychotherapy Services Lcsw, PC | Clinic/Center | 301 27th Ave, Long Island City, NY 11102-4616 | 2012-04-25 |
1104456649 | New York Counseling for Change, LLC | Clinic/Center | 3046 Northern Blvd, Long Island City, NY 11101-2816 | 2020-01-23 |
1093362816 | Mind In Motion Psychological Services, Pllc | Clinic/Center | 4332 22nd St Ste 203, Long Island City, NY 11101-5077 | 2019-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306674 | Therapeutic Sanctuary Counseling & Play Therapy Center | Clinic/Center | 3960 Harlem Rd Ste 13, Amherst, NY 14226-4746 | 2020-11-08 |
1093316564 | Access Mental Health Counseling, Pllc | Clinic/Center | 10 James Ave, East Norwich, NY 11732-1219 | 2020-11-02 |
1700487378 | Listening Ear Counseling and Therapy | Clinic/Center | 36 Watergate Dr, Amawalk, NY 10501-1107 | 2020-11-02 |
1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
1801493366 | Child and Family Psychological Services | Clinic/Center | 521 Route 111 Ste 202, Hauppauge, NY 11788-4358 | 2020-10-07 |
1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
Find all providers with the same taxonomy |
City | LONG ISLAND CITY |
Zip Code | 11101 |
Please comment or provide details below to improve the information on EUNSUNG 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.