MADELON A KING PSYD NPI 1477658896

Psychologist in Salem, MA

NPI 1477658896 Individual Female Years of Experience 24 Psychologist PECOS Enrolled Accepts Medicare Approved Payment

About MADELON KING

Madelon King is a provider established in Salem, Massachusetts and her medical specialization is psychologist with more than 24 years of experience. The NPI number of Madelon King is 1477658896 and was assigned on September 2006. The practitioner's primary taxonomy code is 103T00000X with license number 7818 (MA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A psychologist like Madelon A King Psyd studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Madelon King is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)

Madelon King is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Melrosewakefield Healthcare.

NPI

1477658896

Provider Name MADELON A KING PSYD
Provider Location Address172 LAFAYETTE ST SALEM, MA 01970
Provider Mailing Address5 FLORENCE ST CAMBRIDGE, MA 02139
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-13-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code103T00000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
License No.7818
License StateMA
Taxonomy DescriptionA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Business Address

MADELON A KING PSYD
172 LAFAYETTE ST
SALEM, MA
ZIP 01970
Phone: (978) 744-4033
Fax: (978) 740-4996

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Mailing Address

MADELON A KING PSYD
5 FLORENCE ST
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 868-4460



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3173628930
PECOS Enrollment IDI20070424000140
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 235Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Madelon King is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MELROSEWAKEFIELD HEALTHCARE585 LEBANON STREET
MELROSE, MA 2176
(781) 979-3000Acute Care Hospitals220070

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
W5103601MEDICARE ID-TYPE UNSPECIFIED (04)MA

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265537682MR. WILLIAM FRANCIS HARNEY JR. MED LMHC
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 777-2265
1851496376MS. TERESA MARIE MOORE LMHC
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-1386
1003911421MS. MARIA-JOSE GARCIA-ANGUIANO LMHC
Individual
Social Worker (Clinical)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1114022530MS. CAROLYN BRETT MARTIN
Individual
Counselor (Mental Health)172 LAFAYETTE ST NSMC PROFESSIONAL SERVICES BUILDING
SALEM, MA 01970
(978) 744-1386
1184827529MRS. JENNIFER LEE FUCCI
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-1386
1659561496 DEIDRA B HORTON LICSW
Individual
Social Worker172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1003001413MISS GINA MARIE RABBITT M.S.
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-1386
1669621686MISS ELNAZ JAMALI AFOUSI
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1790938165MISS CRYSTAL MAE BRENNAN LMHC
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1326288754NORTH SHORE MEDICAL CENTER OPMH
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1093948986 CATHERINE ELIZABETH WALSH
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1164755047 MICHAEL CHIUMIENTO M.A.
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1689900946MS. KATHRYN KIERAN NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033
1023325214 LEE LEVIN
Individual
Social Worker (Clinical)172 LAFAYETTE ST NSMC, PROFESSIONAL SERVICES BUILDING
SALEM, MA 01970
(978) 744-1386
1225345200MR. PETER MONROE GRANT
Individual
Counselor (Mental Health)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-1386
1699057737 DANIELLE M MULLETT
Individual
Student in an Organized Health Care Education/Training Program172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-1386
1285748186 MICHELE CASOLIREARDON MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)172 LAFAYETTE ST
SALEM, MA 01970
(978) 744-4033

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.