Individual provider Active NPI

Kinta M Parker, PH.D.

  • Clinical Psychologist
  • Helena, AL
National Provider Identifier
1285714923
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
688 Issued in AL
Practice address
775 2ND St
Helena, AL 35080-3209
Phone
(205) 664-9990
Fax
(205) 664-8882
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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 688 AL Primary

Addresses

Primary practice location

775 2ND St
Helena, AL 35080-3209

Mailing address

775 2ND St
Helena, AL 35080-3209
Phone (205) 664-9990

Other identifiers 1

IdentifierTypeStateIssuer
890012330MedicaidAL

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
688ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helena'S Family Doctor, LLC CurrentSince Jan 14, 2013 Accepting new patients
Integrative Health Services, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

775 2nd St
Helena, AL 35080
Phone (205) 664-9990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1285714923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 2ND ST",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350803209",
            "telephone_number": "205-664-9990",
            "fax_number": "205-664-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 2ND ST",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350803209",
            "telephone_number": "205-664-9990",
            "fax_number": "205-664-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KINTA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890012330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.