Active NPI
Alicia Maki, PH.D.
- Clinical Psychologist
- Tallahassee, FL
National Provider Identifier
1083884241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7527
- Practice address
- 1965 Capital Cir NE
Suite 102
Tallahassee, FL 32308-8401 - Phone
- (850) 671-4600
- Fax
- (850) 878-2863
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7527 | FL | Primary |
Addresses
Primary practice location
1965 Capital Cir NE
Suite 102
Tallahassee, FL 32308-8401
Mailing address
1965 Capital Cir NE
Suite 102
Tallahassee, FL 32308-8401
Phone (850) 671-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000981400 | Medicaid | FL | |
| PY7527 | Other | FL | FL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7527 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1083884241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 CAPITAL CIR NE",
"address_2": "SUITE 102",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088401",
"telephone_number": "850-671-4600",
"fax_number": "850-878-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 CAPITAL CIR NE",
"address_2": "SUITE 102",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088401",
"telephone_number": "850-671-4600",
"fax_number": "850-878-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKI",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000981400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "PY7527",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.