King Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1466-057 Issued in WI

Legal business name

KING PSYCHOLOGICAL SERVICES

Practice address

1488 E Green Bay St
Shawano, WI 54166-2258

Phone

(715) 524-5355

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sandra L. King, PH.D.

Title

Psychologist/Owner

Phone

(715) 524-5355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1174781298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N ANDREWS ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662441",
            "telephone_number": "715-524-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 E GREEN BAY ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662258",
            "telephone_number": "715-524-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "715-524-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1466-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kerkhof, PA-C
• Lana Kern, RN
• McKenna J Kerscher, PA-C
• Emmy Kiecker, OTR
• Joshua Kilmer
• Cynthia Ellen Kirschling, OTR
• Julia R Kleuskens, DPT
• David A Kloss, M.D.
• Nicole Jeannine Klotzbuecher, OD
• Amber R Knoll, PTA

• Community/Behavioral Health Agency in Shawano, WI
• Providers in Shawano, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.