Kim Nielsen

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

390200000X Issued in CA

Practice address

9626 Highland Gorge Dr
Beverly Hills, CA 90210-2317

Phone

(424) 253-4004

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Mental Health Excellence, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1356104301
  NPD
• Institute for Relational Well-Being, PLLC

  • Mental Health Counselor
  • Argyle, TX
  • NPI 1720830805
  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1073375697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 LA PLAYA AVE APT 24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096473",
            "telephone_number": "619-746-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9626 HIGHLAND GORGE DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102317",
            "telephone_number": "424-253-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathi Theresa Nicklas, FNP
• Nicola Natsis MD Inc
• Nicolas a. Ravon, DDS, MSD, Inc.
• Nicole M. Tyer, M.D., Inc.
• Jia Nie
• Brendan Joseph Nierenberg, LMFT
• David Soheil Nikfarjam, D.D.S.
• Nicholas R. Nikolov, M.D.
• Andriana Petrova Nikolova, M.D., PH.D.
• Arshia Niksefat, PHARMD.

• Student in an Organized Health Care Education/Training Program in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.