Active NPI
Priscilla Kingston, PH.D.
- Clinical Psychologist
- Parma, OH
National Provider Identifier
1578574745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6267
- Practice address
- 6929 W 130TH St
202
Parma, OH 44130-7895 - Phone
- (440) 887-9190
- Fax
- (440) 887-9196
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6267 | OH | Primary |
Addresses
Primary practice location
6929 W 130TH St
202
Parma, OH 44130-7895
Mailing address
6929 W 130TH St
202
Parma, OH 44130-7895
Phone (440) 887-9190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2733466 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Administration | Clinical | Past | Accepting new patients |
| Horizons Counseling Services, Inc. | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Parma Heights, OH
- NPI 1770519092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1578574745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6929 W 130TH ST",
"address_2": "202",
"city": "PARMA",
"state": "OH",
"postal_code": "441307895",
"telephone_number": "440-887-9190",
"fax_number": "440-887-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6929 W 130TH ST",
"address_2": "202",
"city": "PARMA",
"state": "OH",
"postal_code": "441307895",
"telephone_number": "440-887-9190",
"fax_number": "440-887-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTON",
"first_name": "PRISCILLA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2733466",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.