David Saketkoo PSYD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7001 Issued in FL

Legal business name

DAVID SAKETKOO PSYD PA

Practice address

1040 Bayview Dr
Suite 534
Fort Lauderdale, FL 33304-2522

Phone

(954) 993-7807

Fax

(954) 563-5807

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

David Saketkoo, PSY.D.NPI 1770526246

Title

President

Phone

(954) 993-7807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Francis Saketkoo, PSY.D.

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1770526246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1265470108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 SW 1ST ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242314",
            "telephone_number": "954-452-6839",
            "fax_number": "954-563-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BAYVIEW DR",
            "address_2": "SUITE 534",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042522",
            "telephone_number": "954-993-7807",
            "fax_number": "954-563-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SAKETKOO PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "SAKETKOO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-993-7807",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Perloff MD PA (Perloff Cardiovascular Care)
• Nanci A David Flores, LCSW
• David G. Webb, D.O.M., P.a.
• David H. Holt, M.D., P.a.
• David Mishkin D.O. P.a.
• Anita Marie David, OT
• Brandon Christopher David, MD
• Douglas W David, D.O.
• Andrea V Davidovich
• Candice Danielle Davids

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.