Organization Active NPI

King Clinical & Forensic Psychology, LLC

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1013236751
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003497 Issued in VA
Legal business name
KING CLINICAL & FORENSIC PSYCHOLOGY, LLC
Practice address
9601 Gayton Rd Ste 201
Richmond, VA 23238-4963
Phone
(804) 380-8940
Fax
(202) 204-8461
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig S King, PSY. D., M.S.W.NPI 1174641559
Title
Psychologist/Owner
Phone
(804) 380-8940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY1000301 DC
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 04362 MD
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 0810003497 VA Primary

Addresses

Primary practice location

9601 Gayton Rd Ste 201
Richmond, VA 23238-4963

Mailing address

9601 Gayton Rd Ste 201
Richmond, VA 23238-4963
Phone (804) 380-8940

Other names 1

  • KCFP, LLC Other name

National Provider Directory

National Provider Directory

Locations

6301 Harbourside Dr
Midlothian, VA 23112
Phone (804) 380-8940

9601 Gayton Rd
Ste 201
Richmond, VA 23238
Phone (804) 380-8940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1013236751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 GAYTON RD STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384963",
            "telephone_number": "804-380-8940",
            "fax_number": "202-204-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 GAYTON RD STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384963",
            "telephone_number": "804-380-8940",
            "fax_number": "202-204-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CLINICAL & FORENSIC PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "804-380-8940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D., M.S.W."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000301",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04362",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCFP, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.