DR. BRIAN KING (NPI# 1942490230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942490230 |
| Entity Type | Individual |
| Full Name | DR. BRIAN KING |
| Credential | PSYD |
| Practice Address |
243 Georgia St Ste B Vallejo CA 94590-5905 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 7075511348 |
| Mailing Telephone | 5105353655 |
| Mailing Fax Number | 5105354225 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2013-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24607 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PSY 24607 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70543G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093233447 | Brian King | Nurse Practitioner | 3851 Navarre Ave Ste 200, Oregon, OH 43616-3671 | 2017-09-06 |
| 1982093134 | Brian M King | Physical Therapist | 1118 Howard St, San Francisco, CA 94103-3946 | 2015-01-12 |
| 1770704397 | Brian Clint King | Chiropractor | 117 W. Cedar St, Columbia, IL 62236-2301 | 2007-05-01 |
| 1407978778 | Brian Stewart King | Occupational Therapist | 22 Barger Rd, Asheville, NC 28803-9578 | 2007-04-06 |
| 1093878746 | Brian J King | Dentist | 25947 County Road 20, Elkhart, IN 46517-2301 | 2006-12-17 |
| 1962439091 | Brian A King | Podiatrist | 6142 W Roosevelt Rd, Suite 105, Oak Park, IL 60304 | 2006-06-26 |
| 1104896307 | Brian D. King | Family Medicine | 2014 S Main St, Suite B, Goshen, IN 46526-5220 | 2006-01-23 |
| 1992263842 | Brian King | Behavior Technician | 1613 Prospect Pkwy Ste 110, Fort Collins, CO 80525-9707 | 2019-03-11 |
| 1578071593 | Brian King | Behavioral Analyst | 2127 W Orangewood Ave Ste B, Orange, CA 92868-1978 | 2018-01-11 |
| 1518489954 | Brian D. King | Internal Medicine | 1900 Electric Rd, Salem, VA 24153-7474 | 2017-07-07 |
| Street Address |
243 GEORGIA ST STE B |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285184242 | Mereb Habtetsion | Physician Assistant | 243 Georgia St Ste B, Vallejo, CA 94590-5905 | 2016-10-13 |
| 1023486859 | Nicole Dietze | Social Worker | 243 Georgia St Ste B, Vallejo, CA 94590-5905 | 2015-09-10 |
| 1396157590 | Maryna Vityuk | Family Medicine | 243 Georgia St Ste B, Vallejo, CA 94590-5905 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076347 | Allen Rosenthal | Psychologist | 6678 Chalk Hill Ln, Vallejo, CA 94591-3866 | 2020-08-31 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| 1265668305 | Ariel Krakower | Psychologist | 113 Humphrey Ln, Vallejo, CA 94591-7234 | 2009-06-03 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1609044031 | Sharon Darlene Mccarver | Psychologist | 181 Copper Way, Vallejo, CA 94589-3811 | 2008-02-19 |
| 1659449577 | Beatrice Ann Grant | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589-2485 | 2006-11-30 |
| 1457434110 | Leslie H Lessenger | Psychologist | 301 Georgia St, Suite 306, Vallejo, CA 94590-5946 | 2006-10-23 |
| 1740812718 | Jamie Hansen | Psychologist | 1761 Broadway St Ste 100, Vallejo, CA 94589-2227 | 2020-02-07 |
| 1235534934 | Area Agency On Aging Serving Napa and Solano | Psychologist | 400 Contra Costa St, Vallejo, CA 94590-6352 | 2014-10-24 |
| 1851734495 | Jonah Raphael Paquette | Psychologist | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2013-04-13 |
| Find all providers in VALLEJO | ||||
Please comment or provide details below to improve the information on DR. BRIAN KING.
| 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.