Individual provider Active NPI

Kimthu Trinh, PH.D.

  • Counseling Psychologist
  • San Diego, CA
National Provider Identifier
1801009352
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
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

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rita Romero, Psychologist a PC PastSince Jun 16, 2018 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.

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

Verify at the official NPI Registry.