DR. JUSTIN KING (NPI# 1356779771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356779771 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KING |
| Credential | PSY.D |
| Practice Address |
2530 Horizon Dr Burnsville MN 55337-3091 |
| Practice Telephone | 6512098640 |
| Practice Fax Number | 6512098690 |
| Mailing Telephone | 6512098640 |
| Mailing Fax Number | 6512098690 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5679 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1356779771 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1405 Lilac Dr N, Suite 200, Golden Valley, MN 554224535 | 7635457708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1194231852 | Justin King | Specialist/Technologist | 700 E Mcneese St, Lake Charles, LA 70607-5832 | 2017-12-18 |
| 1740628015 | Justin Lee King | Occupational Therapist | 166 Oakland Pkwy, Leesburg, GA 31763-7200 | 2013-06-10 |
| 1619598620 | Justin M King | Physician Assistant | 102 Dunhill Pl Nw, Cleveland, TN 37311-3885 | 2020-04-30 |
| 1699304592 | Justin Rakim King | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-03 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1861969495 | Justin King | Case Manager/Care Coordinator | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2018-11-01 |
| 1811473812 | Justin David King | Pharmacist | 8001 Winchester Rd, Memphis, TN 38125-2204 | 2018-07-13 |
| 1437693389 | Justin King | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2016-12-12 |
| 1851746465 | Justin Rossel King | Surgery | 1801 N Senate Blvd, Mpc 2, Suite #3500, Indianapolis, IN 46202 | 2016-05-02 |
| Street Address |
2530 HORIZON DR |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986357 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 2530 Horizon Dr, Cliffview Plaza, Burnsville, MN 55337-3091 | 2006-01-13 |
| 1124377296 | Dakota Child and Family Clinic | Clinic/Center | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2012-09-05 |
| 1366705584 | Carrie Jo Van Overbeke | Nurse Practitioner | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2012-06-21 |
| 1639431695 | Valerie Penner | Social Worker | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2012-06-14 |
| 1619233632 | Carrie Jean Granbois | Nurse Practitioner | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2012-04-03 |
| 1790831014 | Carol A Heupel | Nurse Practitioner | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2007-01-27 |
| 1508921909 | Michelle Simonet Christian | Nurse Practitioner | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2006-12-26 |
| 1922034933 | Gretchen A Moen | Nurse Practitioner | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2006-06-23 |
| 1720058340 | Paula J Rock | Nurse Practitioner | 2530 Horizon Dr, Cliffview Plaza, Burnsville, MN 55337-3091 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 1497991806 | Tina Dinesh Shah | Psychologist | 12400 Portland Ave Ste 120, Burnsville, MN 55337-6817 | 2009-01-07 |
| 1871619718 | Maggie Clare Happe | Psychologist | 2009 Southcross Dr W, Unit 905, Burnsville, MN 55306-7922 | 2007-03-22 |
| 1942325626 | William Hoekstra Pa | Psychologist | 1020 E 146th St, #117, Burnsville, MN 55337-6703 | 2007-03-20 |
| 1649381419 | Leslie Levine Adler | Psychologist | 200 E Travelers Trl, Suite 225, Burnsville, MN 55337-4097 | 2006-08-31 |
| 1114942950 | Dorothy Eleanor Wintz | Psychologist | 1500 Mcandrews Rd W Ste 201, Burnsville, MN 55337-4445 | 2006-07-13 |
| 1679551527 | Andrea Renee Zuellig | Psychologist | 14569 Grand Ave, Burnsville, MN 55306-5729 | 2006-01-01 |
| 1679071823 | Casey Daniel Lloyd | Psychologist | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2018-01-23 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on DR. JUSTIN 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.