1. Home
  2. Directory
  3. California
  4. Berkeley
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLEE BROOKE SHIN
NPI 1295456861
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 12, 2022
3075 ADELINE ST STE 120, BERKELEY, CA 94703(510) 848-1112(510) 848-4445 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 11, 2026, Aug 14, 2026, Sep 12, 2022 (3 updates tracked since 2022).

About Kylee Brooke Shin NPPES

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

KYLEE BROOKE SHIN (NPI 1295456861) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1295456861
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLEE BROOKE SHIN
Location Address3075 ADELINE ST STE 120Berkeley, CA 94703-2579
Mailing Address3075 Adeline St Ste 120Berkeley, CA 94703-2579 · (510) 848-1112 · Fax (510) 848-4445
Phone(510) 848-1112
Fax(510) 848-4445
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
Last NPPES UpdateSeptember 11, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1295456861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3075 ADELINE ST STE 120, Berkeley, CA 94703
Open in Google Maps ↗

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.

COLLEEN THERESE MAYONE
Occupational Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7610
DR. ADAM MOSS PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
JESSICA BOLBER
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
ELISA PACE
Rehabilitation Practitioner
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
DR. CHRISTOPHER GEORGE PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
GALIT LOTAN OUTMEZGUINE
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7610
MS. MEGAN S BONDY ASW
Social Worker
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
ALYSE GINTER
Counselor
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112

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 Kylee Shin's NPI number?

The NPI number for Kylee Shin is 1295456861. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Kylee Shin located?

Kylee Shin practices at 3075 Adeline St Ste 120, Berkeley, CA 94703. The listed phone number is (510) 848-1112.

What is Kylee Shin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kylee Shin was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.