DR. PSY.D. Mike Kim, NPI 1104160910
Prescribing (Medical) Psychologist in Albuquerque, NM, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1104160910 |
| NPI Entity Type | Individual |
| Provider Name | DR. PSY.D. Mike Kim |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM, US |
| Provider Mailing Address | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM, US, 87110 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Prescribing (Medical) Psychologist |
| Classification | |
| Group | |
| License No. | 0036 |
| License State | NM |
| Description | A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| PSY21256 | CA | No |
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|---|---|---|---|
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