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MICHELLE TERESA KIM
NPI 1356228225
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since August 20, 2025
1173 FRONT ST, SAN DIEGO, CA 92101(619) 610-1647 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Teresa Kim NPPES

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

MICHELLE TERESA KIM (NPI 1356228225) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP9535397) and active in the NPI registry since August 2025. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1356228225
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE TERESA KIM
Location Address1173 FRONT STSan Diego, CA 92101
Mailing Address9915 Mira Mesa Blvd Ste 220San Diego, CA 92131-7002 · (858) 644-7016
Phone(619) 610-1647
Sole ProprietorYes
Enumeration DateAugust 20, 2025
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1356228225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP9535397
Also ListedRegistered NurseTaxonomy 163W00000X · License 95286882 (CA)
1173 FRONT ST, San Diego, CA 92101
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Secondary Practice Location 1

Location 1892 27th StSan Diego, CA 92154-1444 · Phone (619) 575-4687

Other Providers at the Same Location NPPES 14

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

ENNEMAN IRENE TAD-AWAN NP
Nurse Practitioner
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 409-5000
MR. WILLIE DARRELL BRANCH APCC
Counselor (Mental Health)
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 409-5000
GUOLIN CHU RN
Registered Nurse (Psychiatric/Mental Health)
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 610-1647
ZAIRHEY ALEXANDRA PEREZ LPCC 19686
Counselor (Mental Health)
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 615-2881
ABIGAIL GIRON
Social Worker
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 615-2570
CORRECTIONAL HEALTHCARE PARTNERS, INC.
Clinic/Center (Prison Health)
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 610-1647
MR. MEL AARON T YEE RN
Registered Nurse
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (619) 615-2700
COUNTY OF SAN DIEGO SHERIFF
Clinic/Center (Prison Health)
1173 FRONT ST
SAN DIEGO, CA 92101
San Diego County (858) 974-5971

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 Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1356228225. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Michelle Kim located?

Michelle Kim practices at 1173 Front St, San Diego, CA 92101. The listed phone number is (619) 610-1647.

What is Michelle Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Michelle Kim was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.