Active NPI
Kyunghae Kum, PSY.D.
- Psychologist
- San Diego, CA
National Provider Identifier
1992090252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8765 Aero Dr Ste 228
San Diego, CA 92123-1785 - Phone
- (858) 876-7779
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8765 Aero Dr Ste 228
San Diego, CA 92123-1785
Mailing address
8765 Aero Dr
Ste 228
San Diego, CA 92123-1785
Phone (858) 876-7779
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1992090252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 AERO DR",
"address_2": "STE 228",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231785",
"telephone_number": "858-876-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8765 AERO DR STE 228",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231785",
"telephone_number": "858-876-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUM",
"first_name": "KYUNGHAE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.