Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013093624 Individual Practitioner Female Practitioner

Dr. Susan R. King , PsyD

Psychologist • Estero, FL

Professional Overview & Biography Verified Profile Summary

Dr. Susan King, PsyD is a registered healthcare professional specializing in Psychologist in Estero, FL. Practice services are available at 3501 HEALTH CENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3501 Health Center Blvd

Estero, FL 341358127

Telephone 2394680300
Fax 2393434257
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Estero, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Estero, FL (2327 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-26
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY6846

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License FL PY6846

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
102285100 (FL)

Secondary Practice Locations

15901 Bass Rd Ste 108

Fort Myers, FL 339083838

Phone: 2393436050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1558947887

Doctor of Philosophy (Ph.D.)

Dr. Susan Moschos , PhD

Psychologist - Clinical Child & Adolescent

NPI 1780053223

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 26, 2022

Registered at 3501 HEALTH CENTER BLVD, ESTERO, FL 341358127 (Tel: 2394680300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2022

Psychologist (License #PY6846 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Psychologist (License #PY6846 in FL)

📍
Updated Practice Location April 17, 2019

Registered at 15901 BASS RD STE 108, FORT MYERS, FL 339083838 (Tel: 2393436050)

📍
Updated Business Mailing Address April 17, 2019

Registered at PO BOX 2147, FORT MYERS, FL 339022147 (Tel: 2393436050)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5245 RAMSEY WAY, SUITE ONE, FORT MYERS, FL 339072124 (Tel: 2399390274)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5245 RAMSEY WAY, SUITE ONE, FORT MYERS, FL 339072124 (Tel: 2399390274)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN KING, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PY6846 in FL)

🟢
Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013093624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: October 26, 2022
Sole Proprietor: No

Mailing Address

Po Box 2147

Fort Myers, FL 339022147

Phone: 2393436050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.