Active NPI
Keya Wiggins, PH.D. Psychological Services
- Psychologist
- Pensacola, FL
National Provider Identifier
1245008341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KEYA WIGGINS, PH.D. PSYCHOLOGICAL SERVICES
- Practice address
- 1150 N 12TH Ave
Pensacola, FL 32501-3308 - Phone
- (850) 462-8716
- NPI assigned
- Dec 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keya Wiggins-Jackson
- Title
- Licensed Psychologist
- Phone
- (205) 601-5008
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Group Psychotherapy Psychologist | 103TP2701X |
Addresses
Primary practice location
1150 N 12TH Ave
Pensacola, FL 32501-3308
Mailing address
1150 N 12TH Ave
Pensacola, FL 32501-3308
Phone (850) 462-8716
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1245008341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013308",
"telephone_number": "850-462-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013308",
"telephone_number": "850-462-8716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYA WIGGINS, PH.D. PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "WIGGINS-JACKSON",
"authorized_official_first_name": "KEYA",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "205-601-5008"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.