Individual provider Active NPI

Alan D. Katell, PH.D.

  • Clinical Psychologist
  • Tamarac, FL
National Provider Identifier
1194876474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003438 Issued in FL
Practice address
7301 N University Dr
Suite 210
Tamarac, FL 33321-2919
Phone
(954) 720-4350
Fax
(954) 720-1009
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0003438 FL Primary

Addresses

Primary practice location

7301 N University Dr
Suite 210
Tamarac, FL 33321-2919

Mailing address

7301 N University Dr
Suite 210
Tamarac, FL 33321-2919
Phone (954) 720-4350

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

LicenseStateTypeSpecialty
PY0003438FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194876474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-720-4350",
            "fax_number": "954-720-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-720-4350",
            "fax_number": "954-720-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATELL",
        "first_name": "ALAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

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.

Verify at the official NPI Registry.