NPIMap

Organization Active NPI

Maki Psychological Services, LLC

  • Psychologist
  • Tallahassee, FL
National Provider Identifier
1396989919
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7527 Issued in FL
Legal business name
MAKI PSYCHOLOGICAL SERVICES, LLC
Practice address
916 N Gadsden St
Tallahassee, FL 32303-6316
Phone
(850) 933-7042
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Alicia A. Maki, PHD
Title
Psychologist
Phone
(850) 933-7042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY7527 FL Primary

Addresses

Primary practice location

916 N Gadsden St
Tallahassee, FL 32303-6316

Mailing address

4109 Scarlett Dr
Tallahassee, FL 32303-2221
Phone (850) 933-7042

National Provider Directory

National Provider Directory
Tax ID family
Maki Psychological Services LLC2 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.

Locations

916 N Gadsden St
Tallahassee, FL 32303
Phone (850) 694-8454

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1396989919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 SCARLETT DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032221",
            "telephone_number": "850-933-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036316",
            "telephone_number": "850-933-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKI PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-933-7042",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7527",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2009; 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.