DR. SOYEONG KIM


Address: 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012
Phone: 4014314552

DR. SOYEONG KIM (NPI# 1447877675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447877675
Entity Type Individual
Full Name DR. SOYEONG KIM
Credential PHD
Practice Address 400 Massasoit Ave Ste 305
East Providence
RI 02914-2012
Mailing Address 411 Valley St Unit 2
Providence
RI 02908-5670
Practice Telephone 4014314552
Mailing Telephone 3306319247
Enumeration Date 2020-07-03
Last Update Date 2020-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS01852 RI Behavioral Health & Social Service Providers

Office Location

Street Address 400 MASSASOIT AVE STE 305
City EAST PROVIDENCE
State RI
Zip Code 02914-2012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558407106 Pamela J Bochiechio Psychiatry & Neurology 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2007-01-30
1538717160 Dorothy Skierkowski-foster Psychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2019-08-27
1093296089 Cara Murphy Psychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2018-08-27
1265923239 Claire E Blevins Psychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2018-05-24
1780180943 Hannah Boettcher Psychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2018-04-04
1437577202 Kara Faye Curry Psychiatry & Neurology 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2014-03-30
1144591876 Patricia A Engler Psychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2012-01-26
1699046276 Ethan Moitra Psychologist 400 Massasoit Ave Ste 305, Ricbt, East Providence, RI 02914-2012 2012-01-13
1245524644 Meghan K Collier Clinical Neuropsychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914 2011-06-02
1487887733 Julie Elizabeth Braciszewski Psychologist 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 2009-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457988198 Sean C. Duffy Massage Therapist 231 Warren Ave., East Providence, RI 02914 2020-03-24
1457905606 Jeanine Le-kreuzer, Lmhc Clinic/Center 3421 Pawtucket Ave, East Providence, RI 02914 2019-07-26
1881113983 Megan Grace Fitzpatrick Student in an Organized Health Care Education/Training Program 51 Milburn Rd, East Providence, RI 02914 2017-09-11
1265719660 Hilary Elise Bicknell Physical Therapist 927 B Warren Ave, East Providence, RI 02914 2011-11-14
1346549037 Amanda M Hope Occupational Therapist 2680 Pawtucket Ave, East Providence, RI 02914 2011-03-21
1780993824 Shannon Hayes Physical Therapist 400 Massaoit Ave, East Providence, RI 02914 2010-10-06
1053623538 Ricardo Rafael Correa Marquez Internal Medicine 900 Warren Avenue, Suite 300, East Providence, RI 02914 2010-07-13
1013231570 Michael Seidler Internal Medicine 20 Catamore Blvd., East Providence, RI 02914 2010-03-26
1053543405 Ray Rezania Dentist 1055 South Broadway, East Providence, RI 02914 2009-08-19
1144464587 John F Maynard Urology Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 2009-04-29
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538612148 Jessica M. Cappellano Psychologist 400 Massasoit Ave Ste 205, East Providence, RI 02914-2012 2016-07-31
1285161927 Coastal Medical, Inc Psychologist 900 Warren Ave, Ste 401, East Providence, RI 02914-1430 2017-05-12
1437406782 Giulia Righi Psychologist 1011 Veterans Memorial Parkway, East Providence, RI 02915 2012-08-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366053803 Trisha Lynn Arnold Psychologist 491 Hope St, Providence, RI 02906-1630 2020-08-10
1962024869 Chonlada Jarukitisakul Psychologist 69 Brown Street Page-robinson Hall 512, Providence, RI 02912-0001 2020-05-13
1356970099 Alberto Soto Psychologist 843 Smith St, Providence, RI 02908-2852 2020-04-05
1942837885 Kristen Wesbecher Psychologist 830 Chalkstone Ave Bldg 1e315, Providence, RI 02908-4734 2020-03-23
1497395487 Erin Sweeney Psychologist 245 Waterman St Ste 200, Providence, RI 02906-5215 2020-01-08
1003454315 Livia Freier Psychologist 38 N Court St, Providence, RI 02903-1266 2019-12-17
1053882670 Bonita Gail Cade Psychologist 12 Antelope Way, Tiverton, RI 02878-2544 2018-12-07
1083199624 Chelsea Tucker Psychologist 43 Broad St Ste B, Westerly, RI 02891-1977 2018-09-29
1154809812 Alejandro Leguizamo Psychologist 20 Cathedral Ave, Providence, RI 02908-1929 2018-08-03
1003301987 Kevin Farrell Gaw Psychologist 25 Tingley Dr, Cumberland, RI 02864-4216 2018-06-25
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Competitor

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City EAST PROVIDENCE
Zip Code 02914

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Dataset Information

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.

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