King Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KING PSYCHOLOGICAL SERVICES, PLLC

Practice address

1733 Harrodsburg Rd
Lexington, KY 40504-3667

Phone

(592) 765-3448

Fax

(859) 223-0490

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Michelle King

Title

Licensed Clinical Psychologist

Phone

(859) 559-7624

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyle Wayne Carlson, PHD

  • Clinical Neuropsychologist
  • Fort Campbell, KY
  • NPI 1700971561
  NPD (past)
• Natalie Pickering

  • Counseling Psychologist
  • Frankfort, KY
  • NPI 1861823429
  NPD (past)

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1841559986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 FOXTALE CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172865",
            "telephone_number": "595-597-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043667",
            "telephone_number": "592-765-3448",
            "fax_number": "859-223-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "859-559-7624",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100303500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindred Recovery PLLC
• Michael G Kindred, MD
• Jill Kindy, RD
• Brian Patrick Kinealy, MD
• Shanna R Kiner
• Abby Lynn King
• Allison King, DC
• Benita Gale King, ARNP
• Deasia Renee King, MD
• Emma Grace King, MT-BC

• Clinical Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.