NPIMap

Organization Active NPI

Waters & Kaklamanos

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1346592748
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 4135 Issued in FL
Legal business name
WATERS & KAKLAMANOS
Practice address
1664 Metropolitan Cir
Suite 2
Tallahassee, FL 32308-7784
Phone
(850) 385-1190
Fax
(850) 385-1191
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Dr. Mary Waters, PHD
Title
Provider
Phone
(850) 385-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY 4135 FL Primary

Addresses

Primary practice location

1664 Metropolitan Cir
Suite 2
Tallahassee, FL 32308-7784

Mailing address

1664 Metropolitan Cir
Suite 2
Tallahassee, FL 32308-7784
Phone (850) 385-1190

Other identifiers 1

IdentifierTypeStateIssuer
73583OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Waters Kaklamanos2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1346592748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 METROPOLITAN CIR",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087784",
            "telephone_number": "850-385-1190",
            "fax_number": "850-385-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 METROPOLITAN CIR",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087784",
            "telephone_number": "850-385-1190",
            "fax_number": "850-385-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS & KAKLAMANOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "850-385-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 4135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "73583",
            "state": "FL"
        }
    ],
    "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 Oct 9, 2012; 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.