Mi Joung Lim

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

493929-1 Issued in NY

Practice address

7 Glen Hollow Dr Apt B35
Holtsville, NY 11742-2448

Phone

(631) 880-8182

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1023730793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLEN HOLLOW DR APT B35",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422448",
            "telephone_number": "631-880-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLEN HOLLOW DR APT B35",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422448",
            "telephone_number": "631-880-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MI JOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "413187",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "493929-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637770470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Krawchuk, MSED
• Jennifer L Kubinski
• Joseph H Laudadio, M.S. SPED
• Angela Marie Lauruska, M.S. ED.
• Robert C Leahy, DC
• Miriam D Linton
• Lisa Piera Lipari, DC
• Michele Eileen Lippl, RN
• Lisa P. Lipari, DC, PLLC
• Long Island NP in Adult Health PLLC

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.