DR. DESIREE LORRAINE KING (NPI# 1215289970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215289970 |
| Entity Type | Individual |
| Full Name | DR. DESIREE LORRAINE KING |
| Credential | PSY.D. |
| Practice Address |
1821 Business Park Blvd Daytona Beach FL 32114-1230 |
| Mailing Address |
16 Creek Bluff Way Ormond Beach FL 32174 |
| Practice Telephone | 3863666700 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9986 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1300881 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530011 | Desiree Nicole King | Home Health | 707 Tuskegee Ave, Chesapeake, VA 23320-6439 | 2020-08-28 |
| 1871095554 | Desiree J King | Nurse Practitioner | 3 Durso Ave, Lawrence, MA 01843-2801 | 2018-03-08 |
| Street Address |
1821 BUSINESS PARK BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316997679 | Timothy Lee Reid | Psychiatry & Neurology | 1821 Business Park Blvd, Daytona Va Clinic,westside Pavilion, Daytona Beach, FL 32114 | 2006-05-10 |
| 1710500764 | Lakeita Doster | Social Worker | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2020-05-26 |
| 1598156028 | Stacey Polott | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2015-02-05 |
| 1245628387 | Orlando Vamc | Clinic/Center | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-12-23 |
| 1558764191 | Stephanie L Nassar | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-09-26 |
| 1356751465 | Ashley Miles | Counselor | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-04-29 |
| 1558791087 | Manjot Dhooper Leafgreen | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430388 | Convenient Care and Assessment LLC | Psychologist | 2407 S Peninsula Dr, Daytona Beach, FL 32118-5412 | 2019-04-28 |
| 1114123452 | John Jeffrey Oatley | Psychologist | 402 N Halifax Ave, Daytona Beach, FL 32118-4016 | 2007-06-25 |
| 1295789071 | Gail H. Nelson | Psychologist | 119 S Palmetto Ave, Suite 214, Daytona Beach, FL 32114-4387 | 2006-05-19 |
| 1811445554 | Tracii Kunkel | Psychologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2016-09-12 |
| 1598156028 | Stacey Polott | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2015-02-05 |
| 1902237266 | Eric Neumaier | Psychologist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2013-12-11 |
| 1558791087 | Manjot Dhooper Leafgreen | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2013-11-19 |
| 1932293842 | Delwin L Pitzer Pswd Pa | Psychologist | 6 Fountainebleau Cir, Daytona Beach, FL 32118-4008 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.