Psychological Services for Assessment and Diagnosis LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL SERVICES FOR ASSESSMENT AND DIAGNOSIS LLC

Practice address

135 North Ave W
Brooksville, FL 34601-1027

Phone

(352) 279-0997

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. A Elise Conroy Kegley, PHDNPI 1447304795

Title

Psychologist

Phone

(352) 279-0997

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• A. Elise Conroy Kegley, PHD

  • Psychologist
  • Brooksville, FL
  • NPI 1447304795
  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1669149050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NORTH AVE W",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011027",
            "telephone_number": "352-279-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NORTH AVE W",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011027",
            "telephone_number": "352-279-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES FOR ASSESSMENT AND DIAGNOSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "CONROY KEGLEY",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "352-279-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctorctoo@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "address_1": "135 North Ave W",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346011027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Premier Gastroenterology PA
• Premium Ankle and Foot Care
• Charles Richard Price, DC
• Emily Rachel Price, SLPA
• Robert Pritz, LMHC
• Publix Super Markets Inc (Publix Pharmacy #1132)
• Michele Pullen
• Pure Med Mobility Inc
• Sandra Purk, ADMINISTRATOR
• Chetna N Purohit, MD

• Psychologist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.