Pamela Helen King, PMHNP, CNS BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400449-1 Issued in NY

Practice address

1387 Fairport Rd
Building 600 Suite 660
Fairport, NY 14450-2003

Phone

(585) 388-8020

Fax

(585) 388-8023

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Rochester School of Medicine and Dentistry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seneca County TreasurerGroup PAC ID 7416840301, 16 clinicians

Penfield Psychiatry PCGroup PAC ID 2365693264, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Penfield Psychiatry PC

  • Psychiatry Physician
  • Penfield, NY
  • NPI 1649544115
  Medicare reassignment Care Compare group NPD
• Seneca County Treasurer

  dba Seneca Cnty Cnslg Ct

  • Community/Behavioral Health Agency
  • Waterloo, NY
  • NPI 1689787517
  Medicare reassignment Care Compare group NPD
• Seneca County Addictions Program

  • Clinic/Center
  • Waterloo, NY
  • NPI 1295799070
  NPD
• Fairport Psychiatric Associates

  • Psychiatry Physician
  • Fairport, NY
  • NPI 1346719614
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124052527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 DALTON DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259328",
            "telephone_number": "585-398-3575",
            "fax_number": "585-388-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 FAIRPORT RD",
            "address_2": "BUILDING 600 SUITE 660",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502003",
            "telephone_number": "585-388-8020",
            "fax_number": "585-388-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PAMELA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "PMHNP, CNS BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400449-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Anne Kieper, MS, CCC-SLP
• Olga Kifor, RN
• Mathew David Kilgore, LCSW
• Christina Noel King, L.P.N
• Karrie Beth King, MS, CCC-SLP
• Andrew Thomas Kingdon
• Valerie Kirk, M.S.
• Elizabeth Anne Kiss, DNP, FNP
• Katelyn Kivinen
• Peter Kladstrup, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Fairport, NY
• Providers in Fairport, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.