Active NPI
Kathleen J King, PHD
- Psychologist
- Kansas City, MO
National Provider Identifier
1639231855
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 18, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01821
- Practice address
- 411 Nichols Rd
Suite 217
Kansas City, MO 64112 - Phone
- (816) 931-9912
- Fax
- (816) 561-5352
- NPI assigned
- Dec 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01821 | MO | Primary |
Addresses
Primary practice location
411 Nichols Rd
Suite 217
Kansas City, MO 64112
Mailing address
411 Nichols Rd
Suite 217
Kansas City, MO 64112
Phone (816) 931-9912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24650016 | Other | BCBSKC |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01821 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639231855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 NICHOLS RD",
"address_2": "SUITE 217",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64112",
"telephone_number": "816-931-9912",
"fax_number": "816-561-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 NICHOLS RD",
"address_2": "SUITE 217",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64112",
"telephone_number": "816-931-9912",
"fax_number": "816-561-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KATHLEEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSKC",
"identifier": "24650016",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.