DR. SUSAN R. KING PSY.D.
NPI 1013093624
Psychologist in Estero, FL

Active since October 27, 2006PECOS Enrolled
3501 HEALTH CENTER BLVD, ESTERO, FL 34135(239) 468-0300(239) 343-4257 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2022, Apr 9, 2021, Mar 29, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Susan R. King Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN R. KING PSY.D. (NPI 1013093624) is an individual psychologist in Estero, Florida, licensed in Florida (PY6846) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1013093624
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN R. KINGCredential: PSY.D.
Location Address3501 HEALTH CENTER BLVDEstero, FL 34135-8127
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6051
Fax(239) 343-4257
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateOctober 26, 20225 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1013093624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY6846
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY6846 (FL)
3501 HEALTH CENTER BLVD, Estero, FL 34135

Secondary Practice Location 1

Location 115901 Bass Rd Ste 108Fort Myers, FL 33908-3838 · Phone (239) 343-6050 · Fax (239) 343-6051

Other Identifiers 1

Medicaid102285100FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan R. King Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan King reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Internal Medicine
3501 HEALTH CENTER BLVD, #2160
BONITA SPRINGS, FL 34135
Clinic/Center (Medical Specialty)
3501 HEALTH CENTER BLVD, SUITE 2440
BONITA SPRINGS, FL 34135
Physician Assistant
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135
Family Medicine
3501 HEALTH CENTER BLVD
ESTERO, FL 34135
Physician Assistant
3501 HEALTH CENTER BLVD
ESTERO, FL 34135
Internal Medicine
3501 HEALTH CENTER BLVD, SUITE 2160
BONITA SPRINGS, FL 34135
Massage Therapist
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan King's NPI number?

The NPI number for Susan King is 1013093624. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Susan King located?

Susan King practices at 3501 Health Center Blvd, Estero, FL 34135. The listed phone number is (239) 468-0300.

What is Susan King's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan King enrolled in Medicare?

Yes. Susan King is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan King reassigns Medicare benefits to 2 organizations: Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan King accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Susan King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan King was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.