DR. AUDREY KIM (NPI# 1619456845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619456845 |
| Entity Type | Individual |
| Full Name | DR. AUDREY KIM |
| Credential | PH.D. |
| Practice Address |
1156 High St Santa Cruz CA 95064-1077 |
| Practice Telephone | 8314591373 |
| Mailing Telephone | 8314591373 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 17644 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250355 | Audrey Borahm Kim | Dentist | 1st Dental Battalion/naval Dental Center, Attn: Medical Staff Sves; Bldg 2238 A Ave, Camp Pendleton, CA 92055-5221 | 2020-09-16 |
| 1831622687 | Audrey Kim | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Suite 5100, Amarillo, TX 79106-1786 | 2017-04-09 |
| 1639305006 | Audrey Bena Kim | Acupuncturist | 15140 Ventura Blvd, Sherman Oaks, CA 91403-3343 | 2009-05-29 |
| 1164581807 | Audrey Yong-ah Kim | Pediatrics | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-12-08 |
| Street Address |
1156 HIGH ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95064-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477542785 | Dorje M. Jennette | Psychologist | 1156 High St, Caps, Ucsc Student Health Center, Santa Cruz, CA 95064-1077 | 2005-10-19 |
| 1558912717 | Nupur Sahai | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2019-09-27 |
| 1104381995 | Jacquelyn Galbreath Rabouin | Counselor | 1156 High St, Santa Cruz, CA 95064-1077 | 2019-02-05 |
| 1972084093 | Julia Ragen | Psychologist | 1156 High St, Santa Cruz, CA 95064-0001 | 2018-08-27 |
| 1932688793 | Susan Jane Gulbe Walsh | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-11 |
| 1881172351 | Luisa Margarita Padilla Ladd | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-06 |
| 1821576463 | Anna B Iversen | Marriage & Family Therapist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-06 |
| 1275011900 | Blair J Davis | Psychologist | 1156 High St, Cowell Student Health Center, Caps, Santa Cruz, CA 95064-1077 | 2018-08-03 |
| 1316448285 | Gina Parisi | Specialist/Technologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-02-26 |
| 1710490974 | Kathryn Sanfilippo | Specialist/Technologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073091674 | Amy Mandell | Marriage & Family Therapist | 1156 High St, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-06 |
| 1043798820 | Maryjan Murphy | Psychologist | 1156 High Street, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-02 |
| 1124244215 | Melinda Carol Padgett | Physician Assistant | University of California, Santa Cruz, Student Health, 1156 High Street, Santa Cruz, CA 95064 | 2007-04-17 |
| 1073639092 | Paula Jean Holtz | Psychologist | University of California Santa Cruz Student Health, 1156 High St., Santa Cruz, CA 95064 | 2007-03-21 |
| 1609904143 | Edward Drew Malloy | Family Medicine | University of California Santa Cruz Student Health Ctr, 1156 High Street, Santa Cruz, CA 95064 | 2007-02-28 |
| 1710013750 | Diane Lamotte | Pharmacist | 1156 High St., Univeristy of California Santa Cr Uz Student Health, Santa Cruz, CA 95064 | 2007-02-26 |
| 1235283789 | Erica Lorena Lopez | Marriage & Family Therapist | 1156 High Street, Santa Cruz, CA 95064 | 2007-01-22 |
| 1740820323 | Deahdra D Bowier | Psychologist | Counseling & Psychological Services, 1156 High Street, Santa Cruz, CA 95064 | 2020-01-10 |
| 1104389949 | Emilie Elizabeth Cate | Psychologist | 1156 High Street, Santa Cruz, CA 95064 | 2019-04-09 |
| 1952881740 | Polina Apilado | Psychologist | 1156 High Street, Counseling and Psychological Services, Santa Cruz, CA 95064 | 2018-08-21 |
| Find all providers in zip 95064 | ||||
| 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 |
|---|---|---|---|---|
| 1588291520 | Charlotte Nolan-reyes | Psychologist | 306 Chestnut St # B, Santa Cruz, CA 95060-4918 | 2020-03-26 |
| 1033752712 | Thomas Butz | Psychologist | 111 Montclair Dr, Santa Cruz, CA 95060-1301 | 2019-10-24 |
| 1669779617 | Donald Joseph Seldeen | Psychologist | 701 Happy Valley Rd, Santa Cruz, CA 95065-9789 | 2011-02-25 |
| 1669659132 | Jeff Howlin | Psychologist | 455 Baker St, Santa Cruz, CA 95062-5324 | 2008-01-28 |
| 1689890881 | Lucie D Hemmen | Psychologist | 555 Soquel Ave Ste 280, Santa Cruz, CA 95062-2341 | 2007-04-17 |
| 1073639092 | Paula Jean Holtz | Psychologist | University of California Santa Cruz Student Health, 1156 High St., Santa Cruz, CA 95064 | 2007-03-21 |
| 1134296403 | Sheila M Coonerty | Psychologist | 313 Cedar St # A, Santa Cruz, CA 95060-4302 | 2006-11-29 |
| 1144330994 | Carmen Louise Berteaux | Psychologist | 147 River Street South, Ste 211, Santa Cruz, CA 95060 | 2006-08-30 |
| 1851406268 | Dan Mayclin | Psychologist | 101 Moss Ln, Santa Cruz, CA 95060-1449 | 2006-08-19 |
| 1720097009 | David A. 'tony' Hoffman | Psychologist | 303 Potrero St Ste 55, Santa Cruz, CA 95060-2760 | 2006-08-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95064 |
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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.