Active NPI
Isabelle B. King, B.S, M.ED, PH.D.
- Clinical Psychologist
- Ormond Beach, FL
National Provider Identifier
1114211802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- FACCT CPY0329010311
- Practice address
- 1452 N US Highway 1
Ormond Beach, FL 32174-6638 - Phone
- (386) 871-7727
- Fax
- (386) 673-8329
- NPI assigned
- May 31, 2011
- Last updated
- Mar 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MA 1686 | MA | |
| Clinical Psychologist | 103TC0700X | FACCT CPY0329010311 | FL | Primary |
Addresses
Primary practice location
1452 N US Highway 1
Ormond Beach, FL 32174-6638
Mailing address
PO Box 730427
Ormond Beach, FL 32173-0427
Phone (386) 871-7727
Other names 1
- Dr. Isabelle Bragg 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
- Credentials
- Bachelor of Science, Master of Education, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 1686 | MA | MD | Psychologist |
| FACCT CPY0329010311 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1114211802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730427",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321730427",
"telephone_number": "386-871-7727",
"fax_number": "386-673-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 N US HIGHWAY 1",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746638",
"telephone_number": "386-871-7727",
"fax_number": "386-673-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ISABELLE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "B.S, M.ED, PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "MA 1686",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "FACCT CPY0329010311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELLE",
"last_name": "KING",
"middle_name": "BRAGG",
"prefix": "DR.",
"credential": "B.S,M.ED,PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.