Active NPI
Candice Deanee King
- Licensed Psychiatric Technician
- Chico, CA
National Provider Identifier
1194492017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 41784
- Practice address
- 560 Cohasset Rd Ste 175
Chico, CA 95926-2460 - Phone
- (530) 891-2784
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 41784 | CA | Primary |
Addresses
Primary practice location
560 Cohasset Rd Ste 175
Chico, CA 95926-2460
Mailing address
560 Cohasset Rd Ste 175
Chico, CA 95926-2460
Phone (530) 891-2784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41784 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1194492017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 COHASSET RD STE 175",
"city": "CHICO",
"state": "CA",
"postal_code": "959262460",
"telephone_number": "530-891-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 COHASSET RD STE 175",
"city": "CHICO",
"state": "CA",
"postal_code": "959262460",
"telephone_number": "530-891-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CANDICE",
"middle_name": "DEANEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "41784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.