Kings Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R8396684 Issued in MS

Legal business name

KINGS PSYCHIATRIC SERVICES LLC

Doing business as

Charlene D King

Practice address

713 Farmer St
Port Gibson, MS 39150-2319

Phone

(601) 448-5176

Fax

(601) 448-5197

NPI assigned

Dec 12, 2013

Last updated

Mar 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene D King, DNP, FPMHNP-BCNPI 1104851161

Title

Owner

Phone

(601) 448-5176

Specialties & licenses 1

Addresses

Other names 1

• Charlene D King Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlene Davis King, DNP, FPMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Gibson, MS
  • NPI 1104851161
  Authorized official Same address or phone

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1023449329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 FARMER ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502319",
            "telephone_number": "601-448-5176",
            "fax_number": "601-448-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 FARMER ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502319",
            "telephone_number": "601-448-5176",
            "fax_number": "601-448-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-448-5176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, FPMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R8396684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlene D King",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David McCaa Headley, MD
• Arlene Hunt, FNP
• Lasalle Jackson
• Dorothy Jeanette Jones
• Charlene Davis King, DNP, FPMHNP-BC
• Stuart P Leventhal, MD
• Annette Jeannie Louis, REGISTERED NURSE
• Demetri W Marshall, M.D.
• Mississippi State Department of Health
• Denisha Taheema Moore

• Psychiatric/Mental Health Nurse Practitioner in Port Gibson, MS
• Providers in Port Gibson, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.