Individual provider Active NPI

Paula L. King, PH.D.

  • Psychologist
  • Grand Junction, CO
National Provider Identifier
1265421135
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2991 Issued in CO
Practice address
2139 N 12TH St
Suite 7
Grand Junction, CO 81501-2901
Phone
(970) 256-8449
Fax
(970) 241-2828
NPI assigned
Oct 13, 2005
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2991 CO Primary

Addresses

Primary practice location

2139 N 12TH St
Suite 7
Grand Junction, CO 81501-2901

Mailing address

2139 N 12TH St
Suite 7
Grand Junction, CO 81501-2901
Phone (970) 256-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000266 CO Practitioner - Clinical Psychologist 2264451525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2139 N 12TH St
Suite 7
Grand Junction, CO 81501-2910
Phone (970) 256-8449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2991COMDPsychologist
1278AZMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1265421135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "SUITE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-256-8449",
            "fax_number": "970-241-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "SUITE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-256-8449",
            "fax_number": "970-241-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PAULA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.