Surobhi Saikia, M.A,,

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1057 Issued in FL

Practice address

2687 Trails at Hidden HBR
Merritt Island, FL 32952-4163

Phone

(321) 454-4356

NPI assigned

Mar 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Surobhi Bora Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1699074476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 TRAILS AT HIDDEN HBR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524163",
            "telephone_number": "321-454-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 TRAILS AT HIDDEN HBR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524163",
            "telephone_number": "321-454-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIKIA",
        "first_name": "SUROBHI",
        "name_prefix": "Mrs.",
        "credential": "M.A,,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUROBHI",
            "last_name": "BORA",
            "prefix": "MISS",
            "credential": "M.SC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Russell, LPN
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• Dianne A Said, L AC, DO.M., AP
• Roderick Henry Salach, D.O.
• Alfreda Salter
• Salus Beachside LLC
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• Alexander Fernando San Diego Jr., D.P.M.

• School Psychologist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.