DR. JEFFREY J KING (PHD) – Clinical Psychologist, NPI 1821011891

DR. JEFFREY J KING (PHD) is a healthcare provider. based in Bellingham, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 1771 (CO). The NPI Number for DR. JEFFREY J KING (PHD) is 1821011891

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY J KING (PHD)
NPI
1821011891
Phone
(360) 630-7355
Address
3923 TIMOTHY CT
Enumeration Date
25 July 2006
Last Update Date
28 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
8022597681
Professional Enrollment ID
I20260204003310
Address ID
WA982267809Be3923XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

Provider Addresses for DR. JEFFREY J KING (PHD)

  • 3923 TIMOTHY CT

    BELLINGHAM, WA 982267809

    Phone: (360) 630-7355

    Fax: (360) 756-5157

    Type: Location

  • Taos Post Office, 318, Paseo del Pueblo Norte, Taos, Taos County, New Mexico, 87571, United States

    TAOS, NM 87571

    Phone: (505) 758-4224

    Fax: (505) 751-5211

    Type: Mailing

  • Taos-Picuris Indian Health Center, 1090, Goat Springs Road, Taos Pueblo, Taos County, New Mexico, 87571, United States

    TAOS, NM 87571

    Phone: (505) 758-4224

    Fax: (505) 751-5211

    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: 2026-02-04

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
I20260204003310IPsychologist Billing IndependentlyWATBD

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

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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 98226)

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Reviews

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Frequently asked questions

How do payers reference DR. JEFFREY J KING (PHD)?
For DR. JEFFREY J KING (PHD), use NPI 1821011891 as the unique 10-digit identifier.
Is DR. JEFFREY J KING (PHD) still an active registrant?
DR. JEFFREY J KING (PHD) carries an active NPI according to the public dataset.
What kind of doctor is DR. JEFFREY J KING (PHD)?
DR. JEFFREY J KING (PHD) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JEFFREY J KING (PHD) located near Bellingham?
DR. JEFFREY J KING (PHD) currently maps to Bellingham, Washington in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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