NPIMap

Organization Active NPI

Psychological Care and Consultation, LLC

  • Clinical Psychologist
  • Gainesville, FL
National Provider Identifier
1134282015
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 7142 Issued in FL
Legal business name
PSYCHOLOGICAL CARE AND CONSULTATION, LLC
Practice address
9214 NW 24TH LN
Gainesville, FL 32606-9143
Phone
(352) 281-8526
Fax
(352) 331-8341
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Khalil A Sakalla, PH.D.
Title
Owner Provider
Phone
(352) 281-8526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY 7142 FL Primary

Addresses

Primary practice location

9214 NW 24TH LN
Gainesville, FL 32606-9143

Mailing address

PO Box 358372
Gainesville, FL 32635-8372
Phone (352) 281-8526

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134282015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358372",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326358372",
            "telephone_number": "352-281-8526",
            "fax_number": "352-331-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9214 NW 24TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326069143",
            "telephone_number": "352-281-8526",
            "fax_number": "352-331-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CARE AND CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKALLA",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "352-281-8526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.