JASON A. KING, PH.D., LLC
NPI 1700980224
Psychologist - Clinical in Smyrna, GA

Active since September 13, 2006
2400 LAKE PARK DR SE STE 110, SMYRNA, GA 30080(770) 933-4130(770) 933-4135 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Jason A. King, Ph.d., Llc NPPES

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

JASON A. KING, PH.D., LLC (NPI 1700980224) is a healthcare organization registered as a clinical in Smyrna, Georgia and active in the NPI registry since September 2006. The organization lists Jason Anthony King, President, as its authorized official.

NPPES Registry Identity

NPI1700980224
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJASON A. KING, PH.D., LLC
Location Address2400 LAKE PARK DR SE STE 110Smyrna, GA 30080-8979
Mailing Address2400 Lake Park Dr Se Ste 110Smyrna, GA 30080-8979 · (770) 933-4130 · Fax (770) 933-4135
Fax(770) 933-4135
Organization SubpartNo
Authorized OfficialJason Anthony KingPresident · (770) 933-4130
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1700980224 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 GA · PSY002888
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.

2400 LAKE PARK DR SE STE 110, Smyrna, GA 30080

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080
Psychologist (Clinical)
2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080
Psychologist (Clinical)
2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080
Psychologist (Clinical)
2400 LAKE PARK DR SE STE 110
SMYRNA, GA 30080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700980224, enumerated as an "organization" on September 13, 2006.

The provider is located at 2400 LAKE PARK DR SE STE 110 SMYRNA, GA 30080 and the phone number is (770) 933-4130.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.