Active NPI
David A Flakoll, PH.D.
- Psychologist
- Pleasant Hill, CA
National Provider Identifier
1093849689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY4358
- Practice address
- 101 Gregory LN
Suite 33
Pleasant Hill, CA 94523-4982 - Phone
- (925) 827-9876
- Fax
- (925) 827-1008
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY4358 | CA | Primary |
Addresses
Primary practice location
101 Gregory LN
Suite 33
Pleasant Hill, CA 94523-4982
Mailing address
101 Gregory LN
Suite 33
Pleasant Hill, CA 94523-4982
Phone (925) 827-9876
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY4358 | CA | MD | Psychologist |
| 4358 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rubino Counseling Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Pleasant Hill, CA
- NPI 1790974707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093849689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREGORY LN",
"address_2": "SUITE 33",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234982",
"telephone_number": "925-827-9876",
"fax_number": "925-827-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GREGORY LN",
"address_2": "SUITE 33",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234982",
"telephone_number": "925-827-9876",
"fax_number": "925-827-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAKOLL",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY4358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.