Carl King

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CARL KING

Practice address

2001 S Barrington Ave Ste 204
Los Angeles, CA 90025-5385

Phone

(818) 501-5375

NPI assigned

Feb 1, 2020

Organization subpart

No

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

Authorized official

Name

Carl King, PHDNPI 1962628933

Title

Clinical Psycologist

Phone

(818) 501-5375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Carl L King, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1962628933

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1164053765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8574 COLE CREST DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "818-501-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CLINICAL PSYCOLOGIST",
        "authorized_official_telephone_number": "818-501-5375",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl E. Hayes, M.D.
• Carl Fleisher, M.D., Inc.
• Carl Hazarian
• Carl J. Gordon, M.D. Inc.
• Carl K. Moy, M.D. Inc.
• Carl Lauryssen MD Prof Corp.
• Carl Thomas Boylen M.D. Inc.
• Carla Belgarde-Duru DDS Inc
• Carla E. Herriford, M.D., Apc
• Kristopher Allen Carle, M.D.

• All providers in Los Angeles, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.