AMANDA KIM (NPI# 1386903193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386903193 |
| Entity Type | Individual |
| Full Name | AMANDA KIM |
| Credential | PH.D. |
| Practice Address |
530 Washington Blvd Apt 3e Oak Park IL 60302-4063 |
| Practice Telephone | 3124793060 |
| Mailing Telephone | 3124793060 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.007854 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956330 | Amanda Kristen Kim | Speech-Language Pathologist | 3570 Executive Dr Ste 208, Uniontown, OH 44685-8712 | 2018-09-19 |
| 1790309243 | Amanda Yj Kim | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-01 |
| 1275161713 | Amanda Kim | Psychiatry & Neurology | 75 Francis St, Boston, MA 02115-6106 | 2020-03-30 |
| 1336702919 | Amanda Kim | Acupuncturist | 5 Park Dr, Burlington, MA 01803-1021 | 2019-04-18 |
| 1750898623 | Amanda Kim | Behavioral Analyst | 268 Bush St Ste 3039, San Francisco, CA 94104-3503 | 2018-01-02 |
| 1093251605 | Amanda Kim | Assistant Behavior Analyst | 6330 Variel Ave, Suite 102, Woodland Hills, CA 91367-2543 | 2017-01-06 |
| 1689050809 | Amanda Kim | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2015-08-11 |
| 1992192579 | Amanda Jane Wong Kim | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2015-04-21 |
| 1043470057 | Amanda Kim | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-06-12 |
| Street Address |
530 WASHINGTON BLVD APT 3E |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-4063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511514 | Kirsten T Svejda, Psyd, LLC | Psychologist | 101 N Marion St Ste 202, Oak Park, IL 60301-1023 | 2020-03-02 |
| 1497397228 | Priebe Psychological & Wellness | Psychologist | 101 N Marion St Ste 201, Oak Park, IL 60301-1023 | 2019-10-14 |
| 1487200861 | Lisa Lombard | Psychologist | 332 N Scoville Ave, Oak Park, IL 60302-2263 | 2019-08-12 |
| 1376015396 | Susan Longley | Psychologist | 851 Washington Blvd Apt A2, Oak Park, IL 60302-3851 | 2019-01-02 |
| 1942703632 | Jaclyn Marie Patricia Fleck | Psychologist | 806 North Blvd Apt 202, Oak Park, IL 60301-1383 | 2018-03-09 |
| 1992162721 | Caitlin Wurster | Psychologist | 137 N Oak Park Ave Ste 302, Oak Park, IL 60301-1339 | 2016-01-25 |
| 1548636541 | Kari Terrill | Psychologist | 610 S Maple Ave Ste 5601, Oak Park, IL 60304-1091 | 2015-08-13 |
| 1578839585 | Olga Mikhaylovna Slavin-spenny | Psychologist | 25900 Greenfield Rd Ste 502, Oak Park, MI 48237-1890 | 2012-03-25 |
| 1457639619 | James Galezewski and Associates | Psychologist | 1045 S Ridgeland Ave, Oak Park, IL 60304-2123 | 2011-07-21 |
| 1174858047 | Thomas Christian Anderson | Psychologist | 137 N. Oak Park Avenue, 302a, Oak Park, IL 60301-1422 | 2009-10-12 |
| Find all providers in OAK PARK | ||||
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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.