Active NPI
Nancy Janice King, M.A., L.L.P.,L.P.C.
- Clinical Psychologist
- Kalamazoo, MI
National Provider Identifier
1619910643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301007497
- Practice address
- 5400 Holiday Terrace
Kalamazoo, MI 49009-2196 - Phone
- (269) 372-4500
- Fax
- (269) 372-7230
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401004128 | MI | |
| Clinical Psychologist | 103TC0700X | 6301007497 | MI | Primary |
Addresses
Primary practice location
5400 Holiday Terrace
Kalamazoo, MI 49009-2196
Mailing address
5400 Holiday Ter
Kalamazoo, MI 49009-2161
Phone (269) 372-4500
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401004128 | MI | MD | Mental Health Counselor |
| 6301007497 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1619910643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 HOLIDAY TER",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092161",
"telephone_number": "269-372-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 HOLIDAY TERRACE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092196",
"telephone_number": "269-372-4500",
"fax_number": "269-372-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "NANCY",
"middle_name": "JANICE",
"credential": "M.A., L.L.P.,L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401004128",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.