DR. MIKE KIM PSY.D.
NPI 1104160910
Psychologist - Prescribing (Medical) in Albuquerque, NM

Q: What is Mike Kim's NPI number?

The NPI number for Mike Kim is 1104160910. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Q: What is Mike Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Q: When was this NPI record last updated?

The NPPES record for Mike Kim was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2012

2900 LOUISIANA BOULEVARD NORTHEAST, SUITE C1, ALBUQUERQUE, NM 87110(505) 884-7873 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mike Kim Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIKE KIM PSY.D. (NPI 1104160910) is an individual prescribing (medical) provider in Albuquerque, New Mexico, licensed in New Mexico (0036) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1104160910

Entity TypeIndividualMale

Primary Taxonomy103TP0016X

Provider Legal NameDR. MIKE KIMCredential: PSY.D.

Location Address2900 LOUISIANA BOULEVARD NORTHEAST, SUITE C1Albuquerque, NM 87110

Mailing Address2900 Louisiana Boulevard Northeast, Suite C1Albuquerque, NM 87110 · (505) 884-7873

Phone(505) 884-7873

Sole ProprietorYes

Enumeration DateNovember 16, 2012

Last NPPES UpdateSeptember 14, 2016

✔ NPI 1104160910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in NM · 0036

Definition

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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY21256 (CA)

2900 LOUISIANA BOULEVARD NORTHEAST, Albuquerque, NM 87110

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABQ PSYCHIATRIC SERVICES, LLC

Community/Behavioral Health

2900 LOUISIANA BOULEVARD NORTHEAST, SUITE C1
ALBUQUERQUE, NM 87110

Bernalillo County (505) 884-7873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mike Kim's NPI number?

The NPI number for Mike Kim is 1104160910. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Mike Kim located?

Mike Kim practices at 2900 Louisiana Boulevard Northeast Suite C1, Albuquerque, NM 87110. The listed phone number is (505) 884-7873.

What is Mike Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Mike Kim was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.