Individual provider Active NPI

Katryna R King-Adams

  • Clinical Psychologist
  • Union Springs, AL
National Provider Identifier
1215239793
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
N/A Issued in AL
Practice address
104 Bullock Dr
Union Springs, AL 36084
Phone
(334) 738-5685
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X N/A AL Primary

Addresses

Primary practice location

104 Bullock Dr
Union Springs, AL 36084

Mailing address

2600 Vaughn Lakes Blvd Apt 1325
Montgomery, AL 36117-4628
Phone (334) 235-1189

Other names 1

  • Ms. Katryna King-Adams Other name

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

LicenseStateTypeSpecialty
N/AALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1215239793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VAUGHN LAKES BLVD APT 1325",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174628",
            "telephone_number": "334-235-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BULLOCK DR",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "36084",
            "telephone_number": "334-738-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-ADAMS",
        "first_name": "KATRYNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRYNA",
            "last_name": "KING-ADAMS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Union Springs, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.