Active NPI
Eun Ha Kim, PH.D.
- Clinical Psychologist
- Nashville, TN
National Provider Identifier
1609271113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3159
- Practice address
- 1310 24TH Avenue South
Nashville, TN 37212 - Phone
- (615) 327-4751
- Fax
- (615) 873-8281
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3159 | TN | Primary |
Addresses
Primary practice location
1310 24TH Avenue South
Nashville, TN 37212
Mailing address
1310 24TH Avenue South, 116B
Nashville, TN 37212
Phone (615) 327-4751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1609271113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 24TH AVENUE SOUTH, 116B",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-327-4751",
"fax_number": "615-873-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVENUE SOUTH",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-327-4751",
"fax_number": "615-873-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUN HA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.