Organization Active NPI

Dr. Angela Sallie, PLLC

  • Clinical Psychologist
  • Fort Sam Houston, TX
National Provider Identifier
1457905820
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. ANGELA SALLIE, PLLC
Practice address
3551 Roger Brooke Dr
Brooke Army Medical Center
Fort Sam Houston, TX 78234
Phone
(901) 456-4487
NPI assigned
Jul 24, 2019
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Angela Turner, PSY.D.NPI 1730385188
Title
Licensed Clinical Psychologist
Phone
(901) 456-4487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Brooke Army Medical Center
Fort Sam Houston, TX 78234

Mailing address

8877 N 107TH Ave Ste 302, 499
Peoria, AZ 85345
Phone (901) 456-4487

Other practice location 1

8076 US Highway 51 N
Millington, TN 38053-1734
Phone (901) 872-8407

Other identifiers 1

IdentifierTypeStateIssuer
Q049111MedicaidTN

National Provider Directory

National Provider Directory

Locations

8877 N 107th Ave
Ste 302
Peoria, AZ 85345
Phone (623) 203-4109

5384 Poplar Ave
Ste 327
Memphis, TN 38119
Phone (901) 687-5614

8076 US Highway 51 N
Millington, TN 38053
Phone (901) 872-8407

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1457905820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 N 107TH AVE STE 302, 499",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85345",
            "telephone_number": "901-456-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "BROOKE ARMY MEDICAL CENTER",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "901-456-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8076 US Highway 51 N",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380531734",
            "country_code": "US",
            "telephone_number": "901-872-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. ANGELA SALLIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "901-456-4487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049111",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.