Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIKE KIM, PSY.D.
Active Sole ProprietorDR. MIKE KIM, PSY.D. is a Prescribing Psychologist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1104160910 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1104160910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2012 (13.701324886409 yrs)
- Last Updated
- Sep 14, 2016
- Licenses
-
0036 (NM)PSY21256 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 LOUISIANA BOULEVARD NORTHEASTSUITE C1ALBUQUERQUE, NM, 87110Browse NM providers · Browse ZIP 87110
- Phone
- 5058847873
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
- Additional Specialty
- Psychologist
Other Prescribing Psychologist Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. MARIE GREENSPAN | PHD, MSCP | 1184616765 |
| MR. MARK STEWART SIMPSON | PSYD, LADAC | 1518952662 |
| JOHN KING | PHD | 1811977325 |
| DR. DEBORAH LESLIE KOS | PSY.D. | 1477585990 |
| DR. ROBERT S. CHANG | PH.D., A.B.M.P. | 1144351586 |
| DR. BLAKE F WHITE JR. | PH.D. | 1255465886 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.