Active NPI
Seong-Hun Kim, M.D., PH.D.
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1194015677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD60518541
- Practice address
- 2611 NE 125TH St
Suite 245
Seattle, WA 98125-4373 - Phone
- (206) 906-9013
- Fax
- (206) 902-9687
- NPI assigned
- Apr 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD60518541 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
Suite 245
Seattle, WA 98125-4373
Mailing address
2611 NE 125TH St
Suite 245
Seattle, WA 98125-4373
Phone (206) 906-9013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 11, 2015 through Aug 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60518541 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1194015677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 245",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-906-9013",
"fax_number": "209-902-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 245",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-906-9013",
"fax_number": "206-902-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SEONG-HUN",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60518541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.