Individual provider · Type 1 NPI

Karissa Leigh Kim

Licensed Psychiatric Technician · San Jose, CA

NPI number 1144737453 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 259-2273

Mailing address

300 Union Ave Apt 37
Campbell, CA 95008-4231

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT37935 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1144737453

Karissa Leigh Kim's National Provider Identifier is 1144737453, issued on Jan 8, 2018. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Jose, CA. The record was last updated on Jan 8, 2018.