Individual provider Active NPI

Isabelle B. King, B.S, M.ED, PH.D.

  • Clinical Psychologist
  • Ormond Beach, FL
National Provider Identifier
1114211802
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
FACCT CPY0329010311 Issued in FL
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
MA 1686MAMDPsychologist
FACCT CPY0329010311FLMDClinical 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.

Verify at the official NPI Registry.