NICOLE KANG PH.D. NPI 1124560552

NPI Information

  • NPI: 1124560552
  • Provider Name: NICOLE KANG, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1145 STURGIS ROAD
    TWENTYNINE PALMS, CA
    ZIP 92278
  • Phone: (760) 830-2724

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NPI Details

Nicole Kang, PH.D. is a clinical psychologist in Twentynine Palms, CA. The provider is 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. Nicole Kang, PH.D. NPI is 1124560552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1145 STURGIS ROAD
TWENTYNINE PALMS, CA
ZIP 92278
Phone: (760) 830-2724

The enumeration date for this NPI number is 11/16/2016 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2103TC0700XPsychologistClinical0810005713VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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