Active NPI
Michele King, PH.D.
- Psychologist
- Auburn, AL
National Provider Identifier
1790847564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 750
- Practice address
- 703 E Glenn Ave
Auburn, AL 36830-5016 - Phone
- (334) 821-1822
- Fax
- (334) 821-1822
- NPI assigned
- Dec 15, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 750 | AL | Primary |
Addresses
Primary practice location
703 E Glenn Ave
Auburn, AL 36830-5016
Mailing address
703 E Glenn Ave
Auburn, AL 36830-5016
Phone (334) 821-1822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790847564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"last_name": "KING",
"first_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "750",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.