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JIYOON KIM
NPI 1265054084
Marriage & Family Therapist in San Leandro, CA

Active since May 14, 2020
2050 FAIRMONT DR, SAN LEANDRO, CA 94578(510) 483-3030 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, May 14, 2020 (2 updates tracked since 2020).

About Jiyoon Kim NPPES

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

JIYOON KIM (NPI 1265054084) is an individual marriage & family therapist in San Leandro, California, licensed in California (AMFT127286) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1265054084
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJIYOON KIM
Location Address2050 FAIRMONT DRSan Leandro, CA 94578-1001
Mailing Address2050 Fairmont DrSan Leandro, CA 94578-1001 · (510) 483-3030
Phone(510) 483-3030
Sole ProprietorNo
Enumeration DateMay 14, 2020
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1265054084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · AMFT127286
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2050 FAIRMONT DR, San Leandro, CA 94578
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Other Providers at the Same Location NPPES 20

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

PATRICIA MURPHY LVN
Licensed Vocational Nurse
2050 FAIRMONT DR
CASTRO VALLEY, CA 94578
Alameda County (510) 483-3030
MISS LORENA MORENO
Technician, Health Information (Assistant Record Technician)
2050 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
JULIE ANN HODGES RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2050 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 895-5502
MARY FORD
Licensed Psychiatric Technician
2050 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 483-3030
TELECARE CORPORATION
Psychiatric Hospital
2050 FAIRMONT DR, 2 BLDG. C-D
SAN LEANDRO, CA 94578
Alameda County (510) 895-5502
ALYSSA CANO RN
Registered Nurse
2050 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 895-5502
CHRISANTES PAULINE FINISTER LPT
Licensed Psychiatric Technician
2050 FAIRMONT DR
CASTRO VALLEY, CA 94578
Alameda County (510) 895-5502
NITZAN GLADSTONE
Student in an Organized Health Care Education/Training Program
2050 FAIRMONT DR
CASTRO VALLEY, CA 94578
Alameda County (510) 483-3030

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 Jiyoon Kim's NPI number?

The NPI number for Jiyoon Kim is 1265054084. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Jiyoon Kim located?

Jiyoon Kim practices at 2050 Fairmont Dr, San Leandro, CA 94578. The listed phone number is (510) 483-3030.

What is Jiyoon Kim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jiyoon Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.