Active NPI
Kimthu Trinh, PH.D.
- Counseling Psychologist
- San Diego, CA
National Provider Identifier
1801009352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 4565 Ruffner St Ste 101
San Diego, CA 92111-2258 - Phone
- (858) 717-4196
- Fax
- (858) 724-3800
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
4565 Ruffner St Ste 101
San Diego, CA 92111-2258
Mailing address
4565 Ruffner St Ste 101
San Diego, CA 92111-2258
Phone (858) 717-4196
Other practice location 1
4851 Mt. Royal Pl.
San Diego, CA 92117
Phone (858) 717-4196
Other practice location 2
251 W Main St Ste N
Brawley, CA 92227-2254
Phone (858) 717-4196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rita Romero, Psychologist a PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Oceanside, CA
- NPI 1134578842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1801009352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4565 RUFFNER ST STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112258",
"telephone_number": "858-717-4196",
"fax_number": "858-724-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 RUFFNER ST STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112258",
"telephone_number": "858-717-4196",
"fax_number": "858-724-3800"
}
],
"practiceLocations": [
{
"address_1": "4851 Mt. Royal Pl.",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92117",
"country_code": "US",
"telephone_number": "858-717-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 W Main St Ste N",
"address_purpose": "LOCATION",
"city": "Brawley",
"state": "CA",
"postal_code": "922272254",
"country_code": "US",
"telephone_number": "858-717-4196",
"fax_number": "858-724-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRINH",
"first_name": "KIMTHU",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.