Kelly King, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD045715 Issued in DC

Practice address

1595 Spring Hill Rd Ste 520
Vienna, VA 22182-4101

Phone

(703) 687-6610

NPI assigned

Apr 4, 2016

Last updated

Sep 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Ross Center of Northern Virginia, PLLC

  • Adult Mental Health Clinic/Center
  • Vienna, VA
  • NPI 1568092948
  NPD
• The Ross Center for Anxiety & Related Disorders Inc

  • Psychologist
  • Washington, DC
  • NPI 1417127663
  NPD (past)
• The Ross Center for Anxiety & Related Disorders, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1578998563
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1184087330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152055",
            "telephone_number": "202-363-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SPRING HILL RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824101",
            "telephone_number": "703-687-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Wisconsin Ave NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152055",
            "country_code": "US",
            "telephone_number": "202-363-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD045715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taeho Kim, MD
• Uriah Kim, PHARM.D.
• Janet Hutchison Kimberling, PH.D.
• Kinder Psychiatry PLLC
• Denys King, MS
• Charles Henry Kinney, O.D.
• Hughston C Kirby, PT
• Katharina Kircanski, PHD
• Jeff Kircher, RPH
• Kiwi Therapy PLLC

• Psychiatry Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.