DR. MATTHEW KING (NPI# 1346849791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346849791 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW KING |
| Credential | PHD |
| Practice Address |
2500 Galen Dr Ste 4 Champaign IL 61821-7050 |
| Mailing Address |
309 W Washington St Apt 103 Champaign IL 61820-4050 |
| Practice Telephone | 2177147042 |
| Mailing Telephone | 7087439740 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
20043313B | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1508423732 | Matthew David King | Dentist | 210 S Oak St, Seneca, SC 29678-3416 | 2019-05-22 |
| 1215385026 | Matthew King | Technician/Technologist | 7223 E Chelsea St, Wichita, KS 67206-1042 | 2016-06-02 |
| 1497924104 | Matthew J King | Physical Therapist | 525 Avenue B, Abilene, TX 79607-1409 | 2008-02-27 |
| 1649487323 | Matthew Lee King | Home Health Aide | 10287 Crouse Willison Rd, Johnstown, OH 43031-9109 | 2007-05-16 |
| 1801946231 | Matthew Kyle King | Specialist/Technologist, Other | 4565 Blarney Stone Ct, Frisco, TX 75034-2118 | 2007-01-10 |
| 1093733347 | Matthew Stephen King | Optometrist | 761 Boston Post Rd, Old Saybrook, CT 06475-2126 | 2006-07-17 |
| 1124022827 | Matthew M King | Family Medicine | 300 Veazey Dr, Butner, NC 27509-1668 | 2005-06-09 |
| 1932101284 | Matthew J King | Internal Medicine | 8401 Highway 111, Byrdstown, TN 38549 | 2005-06-01 |
| 1558998880 | Matthew Richard King | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Ste 400, Orange, CA 92868-3201 | 2020-03-25 |
| Street Address |
2500 GALEN DR STE 4 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-7050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649581984 | Anita Rose Hund-wantland | Psychologist | 100 N Chestnut St Ste 243, Champaign, IL 61820-4872 | 2010-07-01 |
| 1881672616 | Lori Ellen Davis | Psychologist | 201 W Springfield Ave, Suite 503, Champaign, IL 61820-4834 | 2006-01-03 |
| 1720615628 | Jessica Starr Andrews | Psychologist | 1801 Fox Dr, Champaign, IL 61820-7236 | 2020-03-23 |
| 1649743360 | Evergreen Coaching and Counseling, Inc. | Psychologist | 701 Devonshire Dr Ste C53, Champaign, IL 61820-7361 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392439 | Julie Kopf | Psychologist | 1301 S Prospect Ave, Park Ridge, IL 60068-5344 | 2020-09-27 |
| 1568088771 | Psychological Services Center Inc. | Psychologist | 3110 N Sheffield Ave, Chicago, IL 60657-6700 | 2020-06-23 |
| 1124652185 | Soffiya A Siddiqui | Psychologist | 3124 Treesdale Ct, Naperville, IL 60564-4609 | 2020-02-28 |
| 1902437510 | Philip James Cooke | Psychologist | 25 E Washington St Ste 1506, Chicago, IL 60602-1849 | 2020-02-01 |
| 1356971170 | Greenpath Clinic | Psychologist | 2132 Deep Water Ln Ste 240, Naperville, IL 60564-8565 | 2020-01-21 |
| 1356971527 | Nubia Janette Guzman | Psychologist | 137 N Oak Park Ave Ste 403, Oak Park, IL 60301-1344 | 2020-01-16 |
| 1750921078 | Insights Therapeutic Services, LLC | Psychologist | 1820 Ridge Rd Ste 303r, Homewood, IL 60430-1759 | 2020-01-15 |
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
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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.