Carl L King, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6269 Issued in CA

Practice address

2001 S Barrington Ave Ste 204
Los Angeles, CA 90025-5385

Phone

(818) 501-5375

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Carl King

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1164053765

  Clinical

  NPD Authorized official
• KMB Residential Care, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Van Nuys, CA
  • NPI 1083800890
  NPD Authorized official
• KMB Residential Care, Inc.

  • Adult Mental Health Clinic/Center
  • Tarzana, CA
  • NPI 1518853845

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1962628933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8574 COLE CREST DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461914",
            "telephone_number": "818-501-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "818-501-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CARL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF",
            "identifier": "PSY6269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashly King, OTD, OTR/L
• Beverly King
• Brian F. King, M.D.
• Bruce Edward King Sr., DDS
• Bryan King
• Christopher Roger King, M.D.
• Cynthia King
• Dade King
• Daniel John King, PSYD
• Darlene King, LCSW

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.