Individual provider Active NPI

James Kevin King, ED.S.

  • School Psychologist
  • Worthington, OH
National Provider Identifier
1215338348
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
WV1004354 Issued in OH
Practice address
261 Caren Ave
Worthington, OH 43085-2526
Phone
(614) 507-5985
NPI assigned
Sep 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X WV1004354 OH Primary

Addresses

Primary practice location

261 Caren Ave
Worthington, OH 43085-2526

Mailing address

261 Caren Ave
Worthington, OH 43085-2526
Phone (614) 507-5985

Other identifiers 1

IdentifierTypeStateIssuer
WV1004354MedicaidOH

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
WV1004354OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1215338348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CAREN AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852526",
            "telephone_number": "614-507-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 CAREN AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852526",
            "telephone_number": "614-507-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "WV1004354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WV1004354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.