John King, PHD

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

PSY-RXC0074 Issued in NM

Practice address

10110 Spain Rd NE
Albuquerque, NM 87111-1965

Phone

(505) 404-9395

Fax

(505) 299-4740

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Neuropsychological Services of New Mexico, LLC

  • Prescribing (Medical) Psychologist
  • Albuquerque, NM
  • NPI 1326115049

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• Unm Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1831218627
  Medicare reassignment NPD
• Unm Medical Group, Inc.

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1417330044
  NPD
• Albuquerque Neuropsychology LLC

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1447895651
  NPD (past)
• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1811977325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-404-9395",
            "fax_number": "505-299-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-404-9395",
            "fax_number": "505-299-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Constitution Ave NE Ste C",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871061243",
            "country_code": "US",
            "telephone_number": "505-944-5383",
            "fax_number": "505-299-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "71006364",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "0969",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "PSY-RXC0074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71006364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christi King, SLP
• Christopher Hanbury King, LCSW
• Cynthia King, MD
• Jerry N King, M.D.
• Jessie O'Neal King, PHARMD
• John Amos King, RDH
• Jordanne Marie King, MD
• Julie King
• Kisa S King, MD
• Laura King

• Prescribing (Medical) Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.