Katherine D King

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9599 Issued in MA

Practice address

1266 Furnace Brook Pkwy Ste 307
Quincy, MA 02169-4789

Phone

(857) 288-8508

Fax

(888) 262-9456

NPI assigned

Dec 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dearborn Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Quincy, MA
  • NPI 1316398852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1912142902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 307",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694789",
            "telephone_number": "857-288-8508",
            "fax_number": "888-262-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 307",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694789",
            "telephone_number": "857-288-8508",
            "fax_number": "888-262-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 TOTMAN ST",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "country_code": "US",
            "telephone_number": "857-288-8508",
            "fax_number": "888-262-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeong Hyun Kim
• Minji Kim
• Simon S Kim, M.D.
• Kimarie Massage School
• Kelsey Durand Kimball, NP-C
• Kings Enterprize
• Kathleen Burns Kingsbury, LMHC
• Laura Kirschner
• Rohan Shantanu Kirtane, D.M.D, A.E.G.D
• Dawayne D Kirton Jr.

• Psychologist in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.