Cho Long Elizabeth Kim, NMD, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

260691 Issued in AZ

Practice address

5701 W Cholla St
Glendale, AZ 85304-3337

Phone

(562) 822-2772

NPI assigned

Jul 1, 2009

Last updated

Oct 23, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Richards and Kim Group Corporation

  dba Aligned Integrative Medicine

  • Addiction Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1669281416

  Naturopath

  NPD Authorized official
• Rancho Bella LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1972205987
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1467680165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W CHOLLA ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043337",
            "telephone_number": "480-584-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHOLLA ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043337",
            "telephone_number": "562-822-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6613 N Scottsdale Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852507800",
            "country_code": "US",
            "telephone_number": "833-568-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHO LONG",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "NMD, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "260691",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "09-1122",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "09-1122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Killeen Therapy Services, Inc
• Diane Mary Killeen, PT
• Andrew Bosun Kim, L.AC
• Anne Kim, PA-C
• BJ Kim, DMD
• Joyce Kim, NP-C
• Kenneth M. Kimble, D.D.S.
• Kinections Pediatric Therapy LLC
• April King
• Briana Beth King, MS, BCBA, LBA

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.