Individual provider Active NPI

Isis Orue, ED.S., LSP, NCSP

  • Psychologist
  • Miami, FL
National Provider Identifier
1912639063
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SS1663 Issued in FL
Practice address
4812 SW 74TH CT Unit 3
Miami, FL 33155-4448
Phone
(786) 529-8378
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SS1663 FL Primary
School Psychologist 103TS0200X SS1663 FL

Addresses

Primary practice location

4812 SW 74TH CT Unit 3
Miami, FL 33155-4448

Mailing address

1860 SW Fountainview Blvd Ste 100
Port St Lucie, FL 34986-4528
Phone (772) 332-3236

Other practice location 1

1860 SW Fountainview Blvd Ste 100
Port St Lucie, FL 34986-4528
Phone (772) 332-3236

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

State licenses

LicenseStateTypeSpecialty
SS1663FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Learning Steps Diagnostics and Educational Center, LLC Psychologist Current Accepting new patients
Academic, Behavioral, and Cognitive Testing Services LLC Psychologist Past Accepting new patients

Locations

1860 SW Fountainview Blvd
Ste 100
Port St Lucie, FL 34986
Phone (772) 202-2494

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1912639063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "772-332-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 SW 74TH CT UNIT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554448",
            "telephone_number": "786-529-8378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 SW Fountainview Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349864528",
            "country_code": "US",
            "telephone_number": "772-332-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORUE",
        "first_name": "ISIS",
        "credential": "ED.S., LSP, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SS1663",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.