Active NPI
Nakieta Lankster, PSYD
- Psychologist
- Demopolis, AL
National Provider Identifier
1285976548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05846
- Practice address
- 108 W Capitol St
Demopolis, AL 36732-2002 - Phone
- (202) 838-6455
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Psychologist | 103TS0200X | |||
| Clinical Psychologist | 103TC0700X | 2010 | AL | |
| Psychologist | 103T00000X | 05846 | MD | Primary |
Addresses
Primary practice location
108 W Capitol St
Demopolis, AL 36732-2002
Mailing address
2224 Orleans St
Baltimore, MD 21231-1335
Phone (202) 838-6455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171228002570 | MD | Practitioner - Psychologist Billing Independently | 8729346432 | Practice locations: Windsor Mill, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05846 | MD | MD | Psychologist |
| 2010 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Healing Education and Renewing Through Therapy | Clinical | Current | Accepting new patients |
| Dr. Nakieta M. Lankster LLC | Past | Accepting new patients |
Locations
210 E Lexington St
Ste 400
Baltimore, MD 21202
Phone (334) 341-4011
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1184251969
Clinical
-
- Community/Behavioral Health Agency
- Demopolis, AL
- NPI 1639525801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1285976548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212311335",
"telephone_number": "202-838-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W CAPITOL ST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322002",
"telephone_number": "202-838-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANKSTER",
"first_name": "NAKIETA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "2010",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Demopolis, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.