DR. JIN LEE KIM (NPI# 1588828453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588828453 |
| Entity Type | Individual |
| Full Name | DR. JIN LEE KIM |
| Other Name | DR. HYO JIN LEE |
| Credential | PH.D. |
| Practice Address |
1 Ford Pl Ste 1e Detroit MI 48202-3450 |
| Mailing Address |
4190 Telegraph Rd Ste 2700 Bloomfield Hills MI 48302-2042 |
| Practice Telephone | 3138762526 |
| Mailing Telephone | 2486449466 |
| Mailing Fax Number | 2485227365 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 6301013434 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301013434 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36405 Harper Ave, Clinton Township, MI 480352957 | 5867916060 | |
| 4190 Telegraph Rd Ste 2700, Bloomfield Hills, MI 483022042 | 2486449466 | 2485227365 |
| Street Address |
1 FORD PL STE 1E |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720585201 | Dana Rae Connor | Psychologist | 1 Ford Pl Ste 1e, Detroit, MI 48202-3450 | 2018-04-10 |
| 1487193207 | Vilija Petrauskas | Clinical Neuropsychologist | 1 Ford Pl Ste 1e, Detroit, MI 48202-3450 | 2017-02-13 |
| 1346573243 | Maggie F Gindlesperger | Psychologist | 1 Ford Pl Ste 1e, Detroit, MI 48202 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675568 | Andria Lynn Norman | Psychologist | 71 Garfield St Apt 270, Detroit, MI 48201-1907 | 2020-09-24 |
| 1639793011 | Lori Hale | Psychologist | 1071 W Lantz St, Detroit, MI 48203-5100 | 2020-06-02 |
| 1043728819 | Sami Farhat | Psychologist | 1025 E Forest Ave Bldg C, Detroit, MI 48207-1024 | 2018-01-16 |
| 1235644469 | Denise Elizabeth Wallace | Psychologist | 7310 Woodward Ave Ste 401, Detroit, MI 48202-3165 | 2017-12-11 |
| 1669843850 | Amyna Ftouni | Psychologist | 553 E Jefferson Ave, Detroit, MI 48226-4324 | 2015-10-13 |
| 1326424078 | Wendy Pandora Cody | Psychologist | 11253 Somerset Ave, Detroit, MI 48224-1128 | 2015-08-05 |
| 1629475199 | Renee Bouey | Psychologist | 18480 Lancashire St, Detroit, MI 48223-1325 | 2014-11-29 |
| 1649697343 | Shelby Wilson-drummond | Psychologist | 70 W Alexandrine St, Detroit, MI 48201-2051 | 2014-03-20 |
| 1184068975 | Shara L. Johnson | Psychologist | 19511 Greenfield Rd, Detroit, MI 48235-2016 | 2013-04-23 |
| 1649511015 | Lindsay Yeager Carr | Psychologist | 2629 Lenox St, Detroit, MI 48215-2667 | 2013-03-11 |
| Find all providers in DETROIT | ||||
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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.