On Mind Health Care Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ON MIND HEALTH CARE SERVICES

Practice address

3509 Duluth Hwy Ste 203
Duluth, GA 30096-6703

Phone

(470) 222-3378

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sun Hyung Kim, PMHNP-BCNPI 1699528216

Title

Owner

Phone

(470) 222-3378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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, and the practitioner matching its NPPES authorized official.

• Sun Hyung Kim, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
  • NPI 1699528216

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1891525051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 DULUTH HWY STE 203",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 DULUTH HWY STE 203",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966703",
            "telephone_number": "470-222-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON MIND HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "HYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-222-3378",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.