Seon W Kim, PH.D

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

24 Sycamore LN
Avon, CT 06001-4537

Phone

(718) 350-6711

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Consilient Therapy LLC

  • Marriage & Family Therapist
  • Avon, CT
  • NPI 1841996857
  NPD Authorized official

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1275812281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7-8 FOREST GLEN CIR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576650",
            "telephone_number": "718-350-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SYCAMORE LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014537",
            "telephone_number": "718-350-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Migeon Ave",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067904555",
            "country_code": "US",
            "telephone_number": "203-819-0789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Main St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067905340",
            "country_code": "US",
            "telephone_number": "860-222-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1583",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002021",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "TPMF880",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61417660",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kent
• Ashisna Khadka
• Denise L Kidd, P.T.
• Carrie L Kilduff
• CHI H Kim, MD
• Catherine King, PT
• Latonya Sheriee King, PMHNP-BC
• Thomas Kirsch, DPT
• Sharon Sue Knight, MS, RD, CDN
• Peter John Knowles, D.M.D.

• Marriage & Family Therapist in Avon, CT
• Providers in Avon, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.