Mike Kim (NPI# 1104160910, PAC ID# 0749561942) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1104160910 |
PAC ID by PECOS | 0749561942 |
Professional Enrollment ID | I20170120000442 |
Full Name | Mike Kim |
Organization Legal Name | ABQ PSYCHIATRIC SERVICES, LLC |
Address |
2900 Louisiana Blvd Ne Suite C1 Albuquerque NM 87110-3576 |
Phone Number | 5058847873 |
Gender | M |
Graduation Year | 2004 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Group Practice PAC ID | 9032490230 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
2900 Louisiana Blvd Ne, Suite C1, Albuquerque, NM 87110-3576 | 5058847873 | ABQ PSYCHIATRIC SERVICES, LLC |
2900 Louisiana Blvd Ne, Albuquerque, NM 87110-3576 | 5058847873 | ABQ PSYCHIATRIC SERVICES, LLC |
Organization Legal Name | ABQ PSYCHIATRIC SERVICES, LLC |
Physicians | 1 |
Street Address |
2900 LOUISIANA BLVD NE SUITE C1 |
City | ALBUQUERQUE |
State | NM |
Zip | 87110-3576 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sterling K Brown | Clinical Social Worker | 2900 Louisiana Blvd Ne, Suite E2, Albuquerque, NM 87110-3573 | |
Denise L Decker | Clinical Social Worker | 2900 Louisiana Blvd Ne, Suite A2, Albuquerque, NM 87110-3550 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maureen Polikoff | Clinical Social Worker | 2201 San Pedro Ne, Albuquerque, NM 87110 | |
Maureen E Owens | Nurse Practitioner | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
Susan G Blair-buckley | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
Heather A Armes | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
Curtis M Quintana | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
Ana G Huaman | Ophthalmology | 3901 Georgia St Ne, Suite G 2, Albuquerque, NM 87110-1359 | |
Julie D Krawchuck | Nurse Practitioner | 3901 Georgia St Ne, Suite B1, Albuquerque, NM 87110-1390 | |
Mitchell R Silverstein | Clinical Social Worker | 3901 Georgia St Ne, 2 Family Choices Counseling Center, Albuquerque, NM 87110-1390 | |
Robert L Jarrell Jr | Optometry | Robert L Jarrell, Od, Pa | 3901 Georgia Nest, Albuquerque, NM 87110-1391 |
Emerson S Corley | Clinical Social Worker | The Enhancement Center, P.C. | 3901 Georgia St Ne, Suite A4, Albuquerque, NM 87110-1391 |
Find all physicians in zip 87110 |
City | ALBUQUERQUE |
Zip Code | 87110 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | ALBUQUERQUE + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Mike Kim.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.