Provider Demographics
NPI:1871692012
Name:DR KING-JONES AND ASSOCIATES
Entity type:Organization
Organization Name:DR KING-JONES AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-436-2444
Mailing Address - Street 1:816 GREENBRIER CIR STE 209
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2642
Mailing Address - Country:US
Mailing Address - Phone:757-436-2444
Mailing Address - Fax:757-547-4584
Practice Address - Street 1:816 GREENBRIER CIR STE 209
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2642
Practice Address - Country:US
Practice Address - Phone:757-436-2444
Practice Address - Fax:757-547-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040004851041C0700X
VA01010475222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1114956638OtherNPI
VA010191556Medicaid
VA1649394032OtherNPI
VAC05353Medicare UPIN
VA1114956638OtherNPI
VA010191556Medicaid