Active NPI
Julia King, PSY.D., MBA
- Clinical Psychologist
- Madison, CT
National Provider Identifier
1801323571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4786
- Practice address
- 23 Williamsburg Cir
Madison, CT 06443-1802 - Phone
- (860) 419-0316
- Fax
- (860) 507-9226
- NPI assigned
- May 12, 2017
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00628800 | NJ | |
| Clinical Psychologist | 103TC0700X | 130323 | KY | |
| Clinical Psychologist | 103TC0700X | 023400 | NY | |
| Clinical Psychologist | 103TC0700X | 071.010877 | IL | |
| Clinical Psychologist | 103TC0700X | 6379 | OH | |
| Clinical Psychologist | 103TC0700X | 4786 | CT | Primary |
Addresses
Primary practice location
23 Williamsburg Cir
Madison, CT 06443-1802
Mailing address
24 W Main St # 337
Clinton, CT 06413-2053
Phone (860) 419-0316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2025 through Feb 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010877 | IL | MD | Clinical Psychologist |
| 130323 | KY | MD | Clinical Psychologist |
| 35SI00628800 | NJ | MD | Clinical Psychologist |
| 6379 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1801323571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 W MAIN ST # 337",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132053",
"telephone_number": "860-419-0316",
"fax_number": "860-507-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WILLIAMSBURG CIR",
"city": "MADISON",
"state": "CT",
"postal_code": "064431802",
"telephone_number": "860-419-0316",
"fax_number": "860-507-9226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PSY.D., MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00628800",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "130323",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023400",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010877",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6379",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "4786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.