Active NPI
Miyun Kang, MD
- Psychiatry Physician
- West Haven, CT
National Provider Identifier
1679506513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 041610
- Practice address
- 950 Campbell Ave
VA Medical Center, Building 1, 9TH. Floor
West Haven, CT 06516 - Phone
- (818) 462-3446
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 041610 | CT | Primary |
Addresses
Primary practice location
950 Campbell Ave
VA Medical Center, Building 1, 9TH. Floor
West Haven, CT 06516
Mailing address
950 Campbell Ave
VA Medical Center, Building 1, 9TH. Floor
West Haven, CT 06516-2770
Phone (818) 462-3446
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041610 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1679506513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"address_2": "VA MEDICAL CENTER, BUILDING 1, 9TH. FLOOR",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "818-462-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"address_2": "VA MEDICAL CENTER, BUILDING 1, 9TH. FLOOR",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "818-462-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MIYUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "041610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.