Provider Demographics
NPI:1104377050
Name:CATHERINE KIM ARNP, PMHNP LLC
Entity Type:Organization
Organization Name:CATHERINE KIM ARNP, PMHNP LLC
Other - Org Name:MINDFUL CATHY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADULT PSYCHIATRIC NP
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, PMHNP
Authorized Official - Phone:206-588-5578
Mailing Address - Street 1:1417 NW 54TH ST STE 378
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3575
Mailing Address - Country:US
Mailing Address - Phone:206-588-5578
Mailing Address - Fax:206-374-2463
Practice Address - Street 1:1417 NW 54TH ST STE 378
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3575
Practice Address - Country:US
Practice Address - Phone:206-588-5578
Practice Address - Fax:206-374-2463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-16
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60222250363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8929802Medicare UPIN