Mijin Kim Creative Arts Therapy Psychotherapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIJIN KIM CREATIVE ARTS THERAPY PSYCHOTHERAPY, PLLC

Practice address

111 N. Central Park Avenue
Suite 340
Hartsdale, NY 10530

Phone

(917) 767-5237

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mijin Kim, DA, LCATNPI 1861612863

Title

Owner

Phone

(917) 767-5237

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mijin Kim, L.C.A.T.

  • Professional Counselor
  • New York, NY
  • NPI 1861612863
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1063294866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CAROLYN WAY",
            "city": "PURDYS",
            "state": "NY",
            "postal_code": "105781011",
            "telephone_number": "917-767-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N. CENTRAL PARK AVENUE",
            "address_2": "SUITE 340",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "917-767-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIJIN KIM CREATIVE ARTS THERAPY PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-767-5237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DA, LCAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Melcer, LCSW
• Robert Benjamin Mencher, M.D.
• Mental Wealth Practice, Licensed Mental Health Counseling, PLLC
• Mervyn Roy Kaplan
• Metro Optics Hartsdale Inc
• Irwin M Miller, DDS
• Josephine S. Minardo, PSY.D.
• Heather Joy Mitchell
• Aya C. Miyamoto, M.S.ED.
• MJM Psychoological Services PC

• Mental Health Counselor in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.