Organization Active NPI

Paula L King PHD LLC

  • Psychologist
  • Grand Junction, CO
National Provider Identifier
1992051932
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2991 Issued in CO
Legal business name
PAULA L KING PHD LLC
Practice address
2139 N 12TH St
Ste 7
Grand Junction, CO 81501-2901
Phone
(970) 256-8449
Fax
(970) 241-2828
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Paula L King, PHDNPI 1265421135
Title
Owner
Phone
(970) 256-8449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2991 CO Primary

Addresses

Primary practice location

2139 N 12TH St
Ste 7
Grand Junction, CO 81501-2901

Mailing address

2139 N 12TH St
Ste 7
Grand Junction, CO 81501-2901
Phone (970) 256-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000087 CO Part B Supplier - Clinic/Group Practice 6406002609 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1992051932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "STE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-256-8449",
            "fax_number": "970-241-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "STE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-256-8449",
            "fax_number": "970-241-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA L KING PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-256-8449",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.