Ellen Margo Klein-South, M.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS0000535 Issued in FL

Practice address

3881 NE Sugarhill Ave
Jensen Beach, FL 34957-3731

Phone

(772) 334-4035

Fax

(772) 334-4036

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1679872394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3881 NE SUGARHILL AVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573731",
            "telephone_number": "772-334-4035",
            "fax_number": "772-334-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 NE SUGARHILL AVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573731",
            "telephone_number": "772-334-4035",
            "fax_number": "772-334-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN-SOUTH",
        "first_name": "ELLEN",
        "middle_name": "MARGO",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS0000535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD INSURANCE",
            "identifier": "Z127B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.