Kyoko Kamishima

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5676 Riverdale Avenue
Ste 202
Bronx, NY 10471-2138

Phone

(718) 796-5300

Fax

(718) 548-1161

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 9, 2024 through May 9, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Just Mind

  • Professional Counselor
  • Austin, TX
  • NPI 1962828236
  NPD (past)
• Just Mind, LLC

  • Professional Counselor
  • Austin, TX
  • NPI 1962860544
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1811272784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 RIVERDALE AVENUE",
            "address_2": "STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712138",
            "telephone_number": "718-796-5300",
            "fax_number": "718-548-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 RIVERDALE AVENUE",
            "address_2": "STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712138",
            "telephone_number": "718-796-5300",
            "fax_number": "718-548-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMISHIMA",
        "first_name": "KYOKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divya Shravani Kaminedi, MD
• Ruth K Kaminer, MD
• Esther Claire Kaminetzky, OTR/L
• Andrzej Jerzy Kaminski, PHYSICAL THERAPIST
• Stanislav Kaminsky, DPT
• Erica Kamlet
• Josh I Kammerman, P.T.
• Lisa Kamna, MS, LCAT, ATR-BC
• Kamran Yahodaei MDPC
• Andrew Tirdad Kamrouz, M.D., M.P.H.

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.