Active NPI
Jane Kim
- School Psychologist
- Tujunga, CA
National Provider Identifier
1093133217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 10914 Sevenhills Dr
Tujunga, CA 91042-1441 - Phone
- (818) 281-1175
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
10914 Sevenhills Dr
Tujunga, CA 91042-1441
Mailing address
10914 Sevenhills Dr
Tujunga, CA 91042-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1093133217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10914 SEVENHILLS DR",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910421441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10914 SEVENHILLS DR",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910421441",
"telephone_number": "818-281-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.