CHOONG YUK KIM (NPI# 1639674146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639674146 |
| Entity Type | Individual |
| Full Name | CHOONG YUK KIM |
| Credential | PHD |
| Practice Address |
381 Bayside Rd Ste B Arcata CA 95521 |
| Mailing Address |
381 Bayside Rd Ste B Arcata CA 95521-7102 |
| Practice Telephone | 7078406171 |
| Practice Fax Number | 7078406171 |
| Mailing Telephone | 7078406171 |
| Mailing Fax Number | 7078406171 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY28953 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 381 Bayside Rd Ste B, Arcata, CA 95521 | 7078406171 | 7078406171 |
| 830 G St Ste 250, Arcata, CA 95521 | 7078406171 | 7078406171 |
| Street Address |
381 BAYSIDE RD STE B |
| City | ARCATA |
| State | CA |
| Zip Code | 95521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417734 | Sang Won Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521-7102 | 2019-09-29 |
| 1922667302 | Shane Calhoun Counseling Inc | Clinic/Center | 381 Bayside Rd Ste B, Arcata, CA 95521-7102 | 2019-06-10 |
| 1558826842 | Shane Calhoun | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521-7102 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| 1124271499 | Sheridan Michelle Richardson | Acupuncturist | 34 Sunnybrae Center, Arcata, CA 95521 | 2008-10-30 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779338 | Jennifer F. Taylor | Psychologist | 1062 G St, #k, Arcata, CA 95521-5800 | 2005-09-09 |
| 1447345863 | Robynne Michele Lute | Psychologist | 770 10th St, Arcata, CA 95521-6210 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376368 | Jamie L Krause | Psychologist | 2134 N Lincoln St Apt 1/2, Burbank, CA 91504-3349 | 2020-11-07 |
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1932711413 | Tonja M Jackson | Psychologist | 23213 Lynn St, Hayward, CA 94541-7426 | 2020-08-17 |
| 1720606593 | Brejaynae S Joiner | Psychologist | 2310 Mcginley Ave, Antioch, CA 94509-3819 | 2020-07-08 |
| 1407474596 | Devjani Banerjee-stevens | Psychologist | 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 | 2020-07-06 |
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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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.