Active NPI
Dr. Angela Sallie, PLLC
- Clinical Psychologist
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Turner, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q049111 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Fort Sam Houston, TX
- NPI 1730385188
-
- Nurse Practitioner
- Millington, TN
- NPI 1760434229
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.