Organization Active NPI

Dr Jamie King the Ctr for Psychological SVC & Life Coach, LLC

  • Psychologist
  • Greensburg, PA
National Provider Identifier
1144757402
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017392 Issued in PA
Legal business name
DR JAMIE KING THE CTR FOR PSYCHOLOGICAL SVC & LIFE COACH, LLC
Practice address
1275 S Main St Ste 101
Greensburg, PA 15601-5385
Phone
(724) 221-6394
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Authorized official

Name
Dr. Jamie Michelle King, PHDNPI 1497743199
Title
Member/Psychologist
Phone
(724) 221-6394

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS017392 PA Primary

Addresses

Primary practice location

1275 S Main St Ste 101
Greensburg, PA 15601-5385

Mailing address

1275 S Main St Ste 101
Greensburg, PA 15601-5385
Phone (724) 221-6394

Other names 1

  • The Center for Psychological Services & Life Coaching Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102001203 PA Part B Supplier - Clinic/Group Practice 3274899513 Receives reassigned benefits from 5 practitioners
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

430 Pellis Rd
Ste 201
Greensburg, PA 15601
Phone (724) 221-6394

Practitioners & affiliated clinicians

Practitioners 5

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": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1144757402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S MAIN ST STE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015385",
            "telephone_number": "724-221-6394",
            "fax_number": "724-420-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S MAIN ST STE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015385",
            "telephone_number": "724-221-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMIE KING THE CTR FOR PSYCHOLOGICAL SVC & LIFE COACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "724-221-6394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Psychological Services & Life Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.