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DANIEL KIM MA
NPI 1790911998
Psychologist - Clinical in Chicago, IL

Active since June 03, 2009
2100 W HARRISON ST, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Aug 25, 2023 (2 updates tracked since 2023).

About Daniel Kim Ma NPPES

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

DANIEL KIM MA (NPI 1790911998) is an individual clinical provider in Chicago, Illinois, licensed in Colorado (0004508) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1790911998
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDANIEL KIMCredential: MA
Location Address2100 W HARRISON STChicago, IL 60612-3706
Mailing Address2100 W Harrison StChicago, IL 60612-3706
Phone(312) 569-8387
Sole ProprietorNo
Enumeration DateJune 3, 2009
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1790911998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · 0004508
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2100 W HARRISON ST, Chicago, IL 60612
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Other Providers at the Same Location NPPES 4

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

DANA BLOEMER
Social Worker
2100 W HARRISON ST, SUITE 10
CHICAGO, IL 60612
Cook County (312) 864-6573
MS. JOEHANE MARTINEZ
Social Worker (Clinical)
2100 W HARRISON ST
CHICAGO, IL 60612
Cook County (773) 668-8960
DR. LAUREN LIOTTA PSY.D.
Psychologist (Clinical)
2100 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. MICHAEL IGNATOVICH PHARMD, BCACP
Pharmacist (Ambulatory Care)
2100 W HARRISON ST
CHICAGO, IL 60612
Cook County (708) 940-2982

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 Daniel Kim's NPI number?

The NPI number for Daniel Kim is 1790911998. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Daniel Kim located?

Daniel Kim practices at 2100 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Daniel Kim was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.