Kim Emiko Ono, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY004030 Issued in GA

Practice address

5461 Meridian Mark Rd Ste 180
Atlanta, GA 30342-3112

Phone

(404) 785-3974

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1235683335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 CLUB CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191054",
            "telephone_number": "404-785-3874",
            "fax_number": "494-785-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARK RD STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423112",
            "telephone_number": "404-785-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONO",
        "first_name": "KIM",
        "middle_name": "EMIKO",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "GA",
            "license": "PSY004030",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY004030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gjafreone Alysandra Nicole Onidas-Gibson, M.A.
• Oluremi Wanjiru Onifade, DPT
• Nancy U Oniovosa, PHARMD
• Tamara Patrice Onley, LPC
• Carlotta Onnis, MD
• Gabriel Esteban Onofre, M.D.
• Jacqueline Onoz
• Onp Specialty Group, PC
• Onset Chiropractic
• Onsite Rehab Inc.

• Clinical Neuropsychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.