Kristi M King PHD PS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001607 Issued in WA

Legal business name

KRISTI M KING PHD PS

Practice address

513 223Rd PL SE
Bothell, WA 98021-8291

Phone

(206) 979-8177

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi M King, PHDNPI 1912002064

Title

President/Licensed Psychologist

Phone

(206) 979-8177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Kristi King, PHD

  • Clinical Psychologist
  • Bothell, WA
  • NPI 1912002064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1063771541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 223RD PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218291",
            "telephone_number": "206-979-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 223RD PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218291",
            "telephone_number": "206-979-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI M KING PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-979-8177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Erica Krause
• Laura Kredit, PT
• Richard Lowell Kreider, MS CCC-SLP
• Joshua Kreifels, RD
• Laura Krieger, LICSW
• Amy Kroczak, BCBA
• Charlotta Sorine Kromann, SLP
• Daniel Oscar Krupicka, OTR/L, C/NDT
• Cathy Selby Kruse, LMP
• Camilla Kuhns, BCBA

• Clinical Psychologist in Bothell, WA
• Providers in Bothell, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.