NPIMap

Organization Active NPI

Michele King, PH.D., P.C.

  • Clinical Psychologist
  • Auburn, AL
National Provider Identifier
1063574846
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MICHELE KING, PH.D., P.C.
Practice address
703 E Glenn Ave
Auburn, AL 36830-5016
Phone
(334) 821-1822
Fax
(334) 821-1822
NPI assigned
Dec 15, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michele Marie King, PH.D.NPI 1790847564
Title
President
Phone
(334) 821-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

703 E Glenn Ave
Auburn, AL 36830-5016

Mailing address

703 East Glenn Avenue
Auburn, AL 36830-5016
Phone (334) 821-1822

Other identifiers 2

IdentifierTypeStateIssuer
051515491OtherAL051515491
051099555OtherAL051099555

National Provider Directory

National Provider Directory

Locations

703 E Glenn Ave
Auburn, AL 36830
Phone (334) 521-2299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1063574846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 EAST GLENN AVENUE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305016",
            "telephone_number": "334-821-1822",
            "fax_number": "334-821-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305016",
            "telephone_number": "334-821-1822",
            "fax_number": "334-821-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE KING, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-821-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "051515491",
            "identifier": "051515491",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "051099555",
            "identifier": "051099555",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.