ANTHONY P KING (PHD) – Psychologist, NPI 1568890895

ANTHONY P KING (PHD) is a healthcare provider. based in Ann arbor, Michigan. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. P.08433 (OH). The NPI Number for ANTHONY P KING (PHD) is 1568890895

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY P KING (PHD)
NPI
1568890895
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
23 October 2013
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347639259
Graduation Year
2017 (9 years ago)
PAC ID
6608134549
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20171221002322
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for ANTHONY P KING (PHD)

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 4250 PLYMOUTH RD

    ANN ARBOR, MI 481092700

    Phone: (734) 764-6443

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-9600

    Fax: (614) 366-1215

    Type: Mailing

  • 150 W MAIN ST FL 2

    NEW ALBANY, OH 430549229

    Phone: (614) 293-9600

    Fax: (614) 366-1215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230601000269IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

How do I look up ANTHONY P KING (PHD) by NPI?
Use NPI 1568890895 when you need to reference ANTHONY P KING (PHD) in forms, claims, or directories.
Is ANTHONY P KING (PHD)'s NPI currently valid?
The extract we use shows ANTHONY P KING (PHD) as active.
What does ANTHONY P KING (PHD) treat or focus on?
Patients typically see ANTHONY P KING (PHD) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for ANTHONY P KING (PHD)?
We surface Ann Arbor, Michigan for ANTHONY P KING (PHD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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