Jae C Kim, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JAE C KIM, MD, PC

Practice address

5031 Villa Linde PKW
Flint, MI 48532-3446

Phone

(810) 732-2976

Fax

(810) 732-0116

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Jae Chul Kim, MDNPI 1295734762

Title

MD

Phone

(810) 732-2975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jae Chul Kim, MD

  • Psychiatry Physician
  • Flint, MI
  • NPI 1295734762
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1861666166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 VILLA LINDE PKW",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323446",
            "telephone_number": "810-732-2976",
            "fax_number": "810-732-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 VILLA LINDE PKW",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323446",
            "telephone_number": "810-732-2976",
            "fax_number": "810-732-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE C KIM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "CHUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "810-732-2975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ingrid Jacobs
• Ivory Jacobs
• Joseph Michael Jacot, PAC
• Matthew Michael Jacque
• Pamela Marie Jadwin, RDH
• Jagdish Bhagat MD PC
• Franz M. Jaggi, D.O.
• Mark Steven Jagos, L.M.S.W.
• Neha Jain, MD
• Sarah Jajey, PRC, RAC

• Psychiatry Physician in Flint, MI
• Providers in Flint, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.