1. Home
  2. Directory
  3. Michigan
  4. Wayne
  5. Counselor
  6. NPI Profile

DR. CHANG CHOO KIM M.D.
NPI 1942339676
Counselor - Mental Health in Wayne, MI

Active since March 06, 2007
35425 W MICHIGAN AVE, WAYNE, MI 48184(734) 467-7600(734) 467-7646 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chang Choo Kim M.d. NPPES

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

DR. CHANG CHOO KIM M.D. (NPI 1942339676) is an individual mental health provider in Wayne, Michigan, licensed in Michigan (4301032796) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1942339676
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CHANG CHOO KIMCredential: M.D.
Location Address35425 W MICHIGAN AVEWayne, MI 48184-1687
Mailing Address35425 W Michigan AveWayne, MI 48184-1687 · (734) 467-7600 · Fax (734) 467-7646
Phone(734) 467-7600
Fax(734) 467-7646
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942339676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 4301032796
35425 W MICHIGAN AVE, Wayne, MI 48184
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Tony Kim M.d.

Other Identifiers 1

Medicare UPINB46944MI

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.

MS. JUANITA BRADLEY LBSW
Social Worker
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (734) 467-7600
JOE BASKIN
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (734) 467-7600
SADIE BERTHIAUME
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (734) 725-9318
MONIKA ASSENOV
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (734) 467-7600
ADVIKA SURNILLA
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (734) 467-7600
MS. SHARON BLOUNT SLP
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (877) 407-2500
MS. MARY NEPH OT
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (877) 407-2500
MR. TERRENCE ODEN BSW
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Wayne County (313) 722-5384

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 Chang Kim's NPI number?

The NPI number for Chang Kim is 1942339676. It was assigned to this individual provider in the NPPES registry on March 6, 2007. The provider is also known as Mrs. Tony Kim M.D..

Where is Chang Kim located?

Chang Kim practices at 35425 W Michigan Ave, Wayne, MI 48184. The listed phone number is (734) 467-7600.

What is Chang Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chang Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.