JOHANAH Y KANG (NPI# 1588163208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588163208 |
| Entity Type | Individual |
| Full Name | JOHANAH Y KANG |
| Credential | PHD |
| Practice Address |
2013 South 19th Street Tacoma WA 98405 |
| Practice Telephone | 2533833355 |
| Practice Fax Number | 2533833627 |
| Mailing Telephone | 2533833355 |
| Mailing Fax Number | 2533833627 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY60805166 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60805166 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2013 SOUTH 19TH STREET |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649599572 | Troy J Stettler | Clinical Neuropsychologist | 9600 Veterans Drive 116 Mhc, Tacoma, WA 98493-0001 | 2010-05-17 |
| 1376868307 | Alycia Shannon Zink | Clinical Neuropsychologist | 9900 Veterans Drive, Tacoma, WA 98493-1522 | 2010-04-01 |
| 1629279005 | April Fritch | Clinical Neuropsychologist | 9040 Fitzsimmons Ave, Tacoma, WA 98433 | 2007-05-31 |
| 1063624104 | John Allan Ernst | Clinical Neuropsychologist | 1717 S J St # Ms 02-12, St Joseph Medical Center, Tacoma, WA 98405-4933 | 2007-05-03 |
| 1811034481 | David R Knopes | Clinical Neuropsychologist | 2013 S 19th St, Tacoma, WA 98405-2920 | 2007-01-31 |
| 1790833010 | Audrey Jean Don | Clinical Neuropsychologist | 1916 S Washington St, Tacoma, WA 98405-1025 | 2007-01-05 |
| 1316050271 | Monna Wier | Clinical Neuropsychologist | 9900 Veterans Dr,american Lake Div. Vapshcs, Psychological Assessment, A-116-b, Tacoma, WA 98493-5000 | 2006-08-16 |
| 1518971332 | Edwin Lawrence Hill | Clinical Neuropsychologist | 2013 So 19th, Tacoma, WA 98405-2920 | 2006-07-28 |
| 1023049343 | Lance A Harris | Clinical Neuropsychologist | 3001 E J St, Tacoma, WA 98404-3220 | 2006-07-05 |
| 1518919174 | Dennis Allan Kelly | Clinical Neuropsychologist | Psychology Dept., Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-05-16 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on JOHANAH Y KANG.
| 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.