Kim Pariseau, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

MFC 40728 Issued in CA

Practice address

920 W 17TH St Ste C
Santa Ana, CA 92706-3576

Phone

(714) 852-7277

Fax

(714) 245-1001

NPI assigned

Jan 3, 2007

Last updated

Oct 3, 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 1

Addresses

Other names 1

• Dr. Kim Truong Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1770640047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W 17TH ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063576",
            "telephone_number": "909-534-0077",
            "fax_number": "714-245-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W 17TH ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063576",
            "telephone_number": "714-852-7277",
            "fax_number": "714-245-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISEAU",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "MFC 40728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "TRUONG",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benito A. Paredes, MHS,RAS
• Nancy Paredes
• Tatianna Paredes
• Henry Joseph Paris Sr., MSW
• Sheila Paris, OTA
• Brittney Joy Parish, MA
• Andrew Park
• Bojun Park, D.D.S.
• Charles C Park, D.D.S.
• Frances Park

• Clinical Psychologist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.