DR. BRENDA J KING (NPI# 1619201704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619201704 |
| Entity Type | Individual |
| Full Name | DR. BRENDA J KING |
| Credential | PSYD |
| Practice Address |
78 Burncoat Street Worcester MA 01605 |
| Mailing Address |
298 N Main St Unit 417 North Uxbridge MA 01538-0620 |
| Practice Telephone | 5084711765 |
| Mailing Telephone | 5084711765 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
10249 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | 7157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013223 | Brenda King | Counselor | 505 Myers St, Pineville, LA 71360 | 2016-10-06 |
| 1659620425 | Brenda Doreen King | Early Intervention Provider Agency | 301 Elmhurst Ave, Vine Grove, KY 40175-1211 | 2012-09-07 |
| 1417234923 | Brenda King | Licensed Practical Nurse | 100 Ballard Ave, Syracuse, NY 13205-1001 | 2011-11-11 |
| 1669627162 | Brenda King | Counselor | 4261 N Teutonia Ave, Milwaukee, WI 53209-6754 | 2008-11-25 |
| 1558536110 | Brenda Stubbs King | Counselor | 2020 Avalon Pkwy, Suite 185, Mcdonough, GA 30253-3054 | 2008-04-24 |
| 1518150945 | Brenda Hackney King | Physical Therapist | 4895 Pine Ridge Dr, Columbus, IN 47201-2569 | 2007-08-20 |
| 1982635108 | Brenda Sue King | Social Worker | 5610 Sandy Lewis Dr Ste A, Fairfax, VA 22032-4045 | 2006-07-05 |
| 1942779822 | Brenda King | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1184134942 | Brenda King | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-10-06 |
| 1871973099 | Brenda King | Community Health Worker | 15095 Amargosa Rd, Suite 201, Victorville, CA 92394-1879 | 2015-06-03 |
| Street Address |
78 BURNCOAT STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910867 | Tatiana Gray | Psychologist | 8 Housatonic St, Worcester, MA 01606-1618 | 2020-01-06 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1760830632 | Samantha Anne Minski | Psychologist | 630 Plantation St Fl Street12, Worcester, MA 01605-2038 | 2016-06-01 |
| 1841460730 | University of Massachusetts | Psychologist | 275a Belmont Street, Worcester, MA 01604-1675 | 2008-03-06 |
| 1467508259 | John Michael Madonna Jr. | Psychologist | 469 Chandler Street, Worcester, MA 01602 | 2007-01-26 |
| 1285799965 | Stuart G Fisher | Psychologist | 124 Newton Ave N, Worcester, MA 01609-1404 | 2006-12-24 |
| 1881757136 | John Patrick Terry | Psychologist | Psychiatry & Familey Counseling 52 Cedar Street, Worcester, MA 01609 | 2006-12-18 |
| 1548343742 | Megan Kirby | Psychologist | 21 Cedar St, Worcester, MA 01609 | 2006-10-23 |
| 1881792034 | Donald A Favreau | Psychologist | 35 Adelle Circuit, Worcester, MA 01607-0563 | 2006-09-20 |
| 1720194004 | Kimberly Anne Mclaren | Psychologist | 81 Plantation St, Worcester, MA 01604-3069 | 2006-08-21 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.