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KRISTI M KING PHD PS
NPI 1063771541
Psychologist - Clinical in Bothell, WA

Active since May 03, 2012
513 223RD PL SE, BOTHELL, WA 98021(206) 979-8177 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristi M King Phd Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTI M KING PHD PS (NPI 1063771541) is a healthcare organization registered as a clinical in Bothell, Washington and active in the NPI registry since May 2012. The organization lists Kristi M King, President/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1063771541
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKRISTI M KING PHD PS
Location Address513 223RD PL SEBothell, WA 98021-8291
Mailing Address513 223rd Pl SeBothell, WA 98021-8291 · (206) 979-8177
Phone(206) 979-8177
Organization SubpartNo
Authorized OfficialKristi M KingPresident/licensed Psychologist · (206) 979-8177
Enumeration DateMay 3, 2012
Last NPPES UpdateOctober 24, 2023
✔ NPI 1063771541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY00001607
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
513 223RD PL SE, Bothell, WA 98021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristi M King Phd Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20120601000307Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristi M King Phd Ps, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristi King, PHD
Clinical Psychologist
NPI 1912002064
513 223RD PL SE
Bothell, WA 98021
(206) 979-8177
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristi M King Phd Ps's NPI number?

The NPI number for Kristi M King Phd Ps is 1063771541. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is Kristi M King Phd Ps located?

Kristi M King Phd Ps is located at 513 223rd Pl SE, Bothell, WA 98021. The listed phone number is (206) 979-8177.

What is Kristi M King Phd Ps's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kristi M King Phd Ps enrolled in Medicare?

Yes. Kristi M King Phd Ps is registered in the Medicare PECOS enrollment system.

When is Kristi M King Phd Ps's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kristi M King Phd Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kristi M King Phd Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kristi M King Phd Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristi M King Phd Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristi M King Phd Ps was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.