Individual provider Active NPI

Haein Kim

  • Psychiatric/Mental Health Nurse Practitioner
  • McKeesport, PA
National Provider Identifier
1730940537
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP030806 Issued in PA
Practice address
331 Shaw Ave
McKeesport, PA 15132-2918
Phone
(412) 802-5241
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000274371 TN
Registered Nurse 163W00000X RN794369 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP030806 PA Primary

Addresses

Primary practice location

331 Shaw Ave
McKeesport, PA 15132-2918

Mailing address

331 Shaw Ave
McKeesport, PA 15132-2918
Phone (412) 675-6927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001197 PA Practitioner - Nurse Practitioner 3375078421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mon Yough Community Services IncGroup PAC ID 4385638519, 15 clinicians

Practice addresses (Care Compare)

331 Shaw Ave
McKeesport, PA 15132-2918
Phone (412) 586-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN794369PAMDRegistered Nurse
0000274371TNMDRegistered Nurse
SP030806PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Yough Community Services Inc Current Accepting new patients
Mon Yough Community Services, Inc CurrentSince Nov 14, 2024 Accepting new patients

Locations

335 Shaw Ave
McKeesport, PA 15132
Phone (412) 586-2801

331 Shaw Ave
McKeesport, PA 15132
Phone (412) 664-6590

500 Walnut St
Fl 3
McKeesport, PA 15132
Phone (412) 675-6498

Interoperability endpoints

  • Direct secure messaging: haein.kim@upmcdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1730940537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "412-675-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "412-802-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAEIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000274371",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN794369",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.