Eileen Swan Kang, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY20310 Issued in CA

Practice address

6 Venture Suite 350
Irvine, CA 92618-1040

Phone

(949) 556-9190

Fax

(949) 556-9190

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Empirica Group IncGroup PAC ID 5890125736, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Empirica Group Inc

  • Clinical Neuropsychologist
  • Irvine, CA
  • NPI 1750921532
  Medicare reassignment Care Compare group NPD
• The Neurobehavioral Group

  • Clinical Psychologist
  • Fullerton, CA
  • NPI 1053787440
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1689744005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54842",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92619",
            "telephone_number": "949-556-9190",
            "fax_number": "949-556-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VENTURE SUITE 350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181040",
            "telephone_number": "949-556-9190",
            "fax_number": "949-556-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928351040",
            "country_code": "US",
            "telephone_number": "714-681-9070 x3",
            "fax_number": "714-773-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "EILEEN",
        "middle_name": "SWAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20310",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY20310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kang Chiropractic Inc.
• Kang Chiropractic Inc.
• Alice Kang, RBT
• Angie Kang, DDS
• Diana Kang, PHARM D
• Gwangjin Kang
• Hansol Kang, CMS
• Irene Morae Kang, M.D.
• Jane Jina Kang, DO
• Jay Kang

• Clinical Neuropsychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.