Active NPI
Susie Michelle King, PSY.D.
- Clinical Psychologist
- Santa Paula, CA
National Provider Identifier
1083961932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30584
- Practice address
- 111 S Mill St Unit 373
Santa Paula, CA 93061-7017 - Phone
- (805) 620-7378
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30584 | CA | Primary |
Addresses
Primary practice location
111 S Mill St Unit 373
Santa Paula, CA 93061-7017
Mailing address
111 S Mill St Unit 373
Santa Paula, CA 93061-7017
Phone (805) 620-7378
Other names 1
- Susan M. King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1083961932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S MILL ST UNIT 373",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930617017",
"telephone_number": "805-620-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MILL ST UNIT 373",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930617017",
"telephone_number": "805-620-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SUSIE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "KING",
"middle_name": "M.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.