Active NPI
Beverly Matthews Atkeson, PHD
- Psychologist
- Tallahassee, FL
National Provider Identifier
1174781074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 3382
- Practice address
- 104 William Johnston Building
Florida State University
Tallahassee, FL 32306-1220 - Phone
- (850) 644-9922
- Fax
- (850) 644-6591
- NPI assigned
- May 28, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 3382 | FL | Primary |
Addresses
Primary practice location
104 William Johnston Building
Florida State University
Tallahassee, FL 32306-1220
Mailing address
104 William Johnston Building
Florida State University
Tallahassee, FL 32306-1220
Phone (850) 644-9922
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 |
|---|---|---|---|
| PY 3382 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1174781074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WILLIAM JOHNSTON BUILDING",
"address_2": "FLORIDA STATE UNIVERSITY",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323061220",
"telephone_number": "850-644-9922",
"fax_number": "850-644-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WILLIAM JOHNSTON BUILDING",
"address_2": "FLORIDA STATE UNIVERSITY",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323061220",
"telephone_number": "850-644-9922",
"fax_number": "850-644-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKESON",
"first_name": "BEVERLY",
"middle_name": "MATTHEWS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 3382",
"primary": true
}
],
"identifiers": [],
"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 May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.