Active NPI
Dr. Yong H. Kim, PSYD, Professional Limited Company
- Clinical Psychologist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1109
- Legal business name
- DR. YONG H. KIM, PSYD, PROFESSIONAL LIMITED COMPANY
- Practice address
- 8101 NW 10TH
Oklahoma City, OK 73127 - Phone
- (405) 365-7556
- NPI assigned
- Nov 28, 2012
- Last updated
- Nov 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yong H. Kim, PSY.D.
- Title
- Psychologist
- Phone
- (405) 365-7556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1109 | OK | Primary |
Addresses
Primary practice location
8101 NW 10TH
Oklahoma City, OK 73127
Mailing address
13004 Willowcrest LN.
Oklahoma City, OK 73170
Phone (405) 365-7556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200304690 | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1021 NW 37th St
Ste 207
Oklahoma City, OK 73118
Phone (405) 365-7556
8101 NW 10th St
Oklahoma City, OK 73127
Phone (405) 365-7556
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counseling Psychologist
- Yukon, OK
- NPI 1003120973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1437494655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13004 WILLOWCREST LN.",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73170",
"telephone_number": "405-365-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 NW 10TH",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73127",
"telephone_number": "405-365-7556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. YONG H. KIM, PSYD, PROFESSIONAL LIMITED COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YONG",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "405-365-7556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "1109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200304690",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.