JOHN KING PHD
NPI 1811977325
Psychologist - Prescribing (Medical) in Albuquerque, NM

Q: What is John King's NPI number?

The NPI number for John King is 1811977325. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is John King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Q: When was this NPI record last updated?

The NPPES record for John King was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 19, 2006PECOS Enrolled

10110 SPAIN RD NE, ALBUQUERQUE, NM 87111(505) 404-9395(505) 299-4740 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2021, Oct 10, 2019 (2 updates tracked since 2019).

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About John King Phd NPPES

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

JOHN KING PHD (NPI 1811977325) is an individual prescribing (medical) provider in Albuquerque, New Mexico, licensed in New Mexico (PSY-RXC0074) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1811977325

Entity TypeIndividualMale

Primary Taxonomy103TP0016X

Provider Legal NameJOHN KINGCredential: PHD

Location Address10110 SPAIN RD NEAlbuquerque, NM 87111-1965

Mailing Address10110 Spain Rd NeAlbuquerque, NM 87111-1965 · (505) 404-9395 · Fax (505) 299-4740

Phone(505) 404-9395

Fax(505) 299-4740

Sole ProprietorNo

Enumeration DateJanuary 19, 2006

Last NPPES UpdateMay 27, 20212 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1811977325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in NM · PSY-RXC0074

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 71006364 (IL), 0969 (NM)

10110 SPAIN RD NE, Albuquerque, NM 87111

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Secondary Practice Location 1

Location 13400 Constitution Ave NE Ste CAlbuquerque, NM 87106-1243 · Phone (505) 944-5383 · Fax (505) 299-4740

Other Identifiers 1

Medicaid71006364IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DR. VANITA SOOD M.D.

Pediatrics