Active NPI
Miri Elias
- School Psychologist
- Spring Valley, CA
National Provider Identifier
1922907443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 260250567
- Practice address
- 1001 Leland St
Spring Valley, CA 91977-4819 - Phone
- (619) 668-5702
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 260250567 | CA | Primary |
Addresses
Primary practice location
1001 Leland St
Spring Valley, CA 91977-4819
Mailing address
4759 Date Ave
La Mesa, CA 91942
Phone (619) 668-5700
Other names 1
- Miri Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"number": "1922907443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4759 DATE AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-668-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LELAND ST",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919774819",
"telephone_number": "619-668-5702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "MIRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "260250567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRI",
"last_name": "KIM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.