NPI Code Detail JSON Logo

1013236751 NPI number — KING CLINICAL & FORENSIC PSYCHOLOGY, LLC

NPI Number: 1013236751
Health Care Provider/Practitioner: KING CLINICAL & FORENSIC PSYCHOLOGY, LLC

Information about “1013236751” NPI (KING CLINICAL & FORENSIC PSYCHOLOGY, LLC) exists in 1013236751 in HTML format HTML  |  1013236751 in plain Text format TXT  |  1013236751 in PDF (Portable Document Format) PDF  |  1013236751 in an XML format XML  formats.

NPI Number : 1013236751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013236751",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KING CLINICAL & FORENSIC PSYCHOLOGY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9601 GAYTON RD STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23238-4963",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-380-8940",
    "MailingAddressFaxNumber": "202-204-8461",
    "FirstLinePracticeLocationAddress": "9601 GAYTON RD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23238-4963",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-380-8940",
    "PracticeLocationAddressFaxNumber": "202-204-8461",
    "EnumerationDate": "05/20/2010",
    "LastUpdateDate": "07/07/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KING",
    "AuthorizedOfficialFirstName": "CRAIG",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "PSYCHOLOGIST/OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY. D., M.S.W.",
    "AuthorizedOfficialTelephoneNumber": "804-380-8940",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PSY1000301",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "04362",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "0810003497",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.