DR. SAMUEL KIM (NPI# 1316361728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316361728 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL KIM |
| Credential | PH.D. |
| Practice Address |
789 N Clare Ave Harrison MI 48625-9194 |
| Practice Telephone | 9895392141 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015832 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059178 | Samuel Kim | Acupuncturist | 24904 34th Ave, Little Neck, NY 11363-1407 | 2019-12-08 |
| 1952841793 | Samuel Kim | Dentist | 3441 Burritt Way, La Crescenta, CA 91214 | 2017-02-27 |
| 1295107605 | Samuel Kim | Pharmacist | 1001 E Latham Ave Ste P, Hemet, CA 92543-4435 | 2015-10-24 |
| 1902224587 | Samuel M Kim | Internal Medicine | Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 | 2014-04-01 |
| 1174889141 | Samuel Hyojune Kim | Emergency Medicine | One Gustave L Levy Place, Box 1264, Mount Sinai Medical Center Box 1264, New York, NY 10029 | 2012-04-04 |
| 1023310687 | Samuel Sungwon Kim | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2010-12-02 |
| 1245430206 | Samuel Hun Kim | General Acute Care Hospital | 1420 Crest Vista Dr, Monterey Park, CA 91754-4643 | 2007-07-18 |
| 1992916001 | Samuel I Kim | Dentist | 8811 W Sahara Ave Ste 100, Las Vegas, NV 89117-4813 | 2007-05-24 |
| 1609917285 | Samuel I Kim | Dentist | 21580 Bear Valley Rd, B2-2, Apple Valley, CA 92308-7200 | 2007-02-08 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
| Street Address |
789 N CLARE AVE |
| City | HARRISON |
| State | MI |
| Zip Code | 48625-9194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922017631 | Kathlyn Marie Steinman | Social Worker | 789 N Clare Ave, Harrison, MI 48625-9194 | 2006-08-05 |
| 1255931747 | Emily Rose Webb | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2020-10-26 |
| 1619596137 | Elizabeth M Tratar | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2020-04-14 |
| 1851948525 | Emily Rose Brown | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2019-08-19 |
| 1306403407 | Amy Schneider | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2019-05-23 |
| 1467918896 | Danielle Breann Germaine | Counselor | 789 N Clare Ave, Harrison, MI 48625-8250 | 2019-02-11 |
| 1609341486 | Emily Rose Lemorie | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2018-10-09 |
| 1407337595 | Julie Thomason | Counselor | 789 N Clare Ave, Harrison, MI 48625-8250 | 2018-08-27 |
| 1376021246 | Kaitlyn Heather Corell | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2018-08-02 |
| 1124518022 | Marisa Bowie | Social Worker | 789 N Clare Ave, Harrison, MI 48625-8250 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730679424 | Bobbiejo M Briggs | Licensed Practical Nurse | 6197 Maple Trail, Harrison, MI 48625 | 2018-05-17 |
| 1235653635 | Ashley Eileen Angerer-blunt | Social Worker | 789 North Clare Avenue, Po Box 817, Harrision, MI 48625 | 2017-07-28 |
| 1033651088 | Northern Star Transportation Inc. | Non-emergency Medical Transport (VAN) | 4036 Oak Flats Rd, Harrison, MI 48625 | 2016-11-08 |
| 1174748651 | Joni Marie Haley Ashcroft | Chiropractor | 190 S.second St., Harrison, MI 48625 | 2007-04-17 |
| 1003905241 | Bradley James Boulton | Chiropractor | 190 S Second St, Harrison, MI 48625 | 2006-10-12 |
| 1376643320 | Mitchell L. Mcmillan | Physical Therapist | 158 N 1st St, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1932208071 | Brooke W. Loucks | Physical Therapist | 158 North 1st Street, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1962515809 | Evergreen Physical Therapy Limited Partnership | Clinic/Center | 158 North First Street, Suite D, Harrison, MI 48625 | 2006-08-16 |
| 1316982465 | United Rescue Service | Ambulance | 229 W Beech St, Harrison, MI 48625 | 2006-06-20 |
| 1699763979 | Stephen C Mcclintic | Optometrist | 444 South First St, Harrison, MI 48625 | 2005-10-11 |
| Find all providers in zip 48625 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| 1659885283 | Casey Rose Shannon | Psychologist | 189 Adelphi Ave, Harrison, NY 10528-2617 | 2017-11-17 |
| 1255577201 | Elizabeth A. Donovan | Psychologist | 550 Mamaroneck Ave Ste 305, Harrison, NY 10528-1615 | 2008-12-22 |
| 1548308075 | Rita Freedman | Psychologist | 384 Woodlands Rd, Harrison, NY 10528-1220 | 2007-02-05 |
| 1760039929 | Kaleb Pratt | Psychologist | 623 N Walnut St, Harrison, AR 72601-3617 | 2019-08-22 |
| 1710245022 | Claire Lavin | Psychologist | 550 Mamaroneck Ave, Harrison, NY 10528-1634 | 2012-04-25 |
| 1932400140 | St.vincent' Hospital Westchester Psych | Psychologist | 275 North St, Harrison, NY 10528-1524 | 2010-11-04 |
| 1831345883 | Alexa Dale Davis | Psychologist | 702 N Main St, Suite C, Harrison, AR 72601-2900 | 2008-08-11 |
| 1841483047 | John Wallace | Psychologist | 275 North St, Harrison, NY 10528-1524 | 2007-08-21 |
| 1548483720 | St Vincent Westchester Psychiatry | Psychologist | 275 North St, Harrison, NY 10528-1524 | 2007-04-10 |
| Find all providers in HARRISON | ||||
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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.