Kim Nguyen

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26565 Issued in CA

Practice address

31625 U.S. 101
Soledad, CA 93960-1020

Phone

(831) 884-3665

NPI assigned

Aug 19, 2010

Last updated

Oct 7, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim Nguyen, Doctor of Psychology, PC

  • Psychologist
  • Sacramento, CA
  • NPI 1558245944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1184930844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MEADOWLAND DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354415",
            "telephone_number": "408-209-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 U.S. 101",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939601020",
            "telephone_number": "831-884-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Mosqueda
• Vaun C Munk, D.D.S.
• Troy Newton, PSYD.
• Julie Ann Ngin, PSY.D.
• Hoang Quynh Nguyen, DDS
• Kimyen Bach Nguyen, PHARM. D.
• Loc Van Nguyen, DMD
• Ngoctrinh Nguyen, DDS
• Thanh Nguyen, PHARMD
• Kenneth Alan Norton, D.D.S.

• Clinical Psychologist in Soledad, CA
• Providers in Soledad, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.