David Francis Saketkoo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7001 Issued in FL

Practice address

1040 Bayview Dr
Suite 534
Fort Lauderdale, FL 33304-2522

Phone

(954) 993-7807

Fax

(954) 563-5807

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Saketkoo PSYD PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1265470108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1770526246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 SW 1ST ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242314",
            "telephone_number": "954-452-6839",
            "fax_number": "954-563-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BAYVIEW DR",
            "address_2": "SUITE 534",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042522",
            "telephone_number": "954-993-7807",
            "fax_number": "954-563-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKETKOO",
        "first_name": "DAVID",
        "middle_name": "FRANCIS",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Saintil
• Jaleesa Sainvil, LCSW
• Sepideh Sajadi, DMD
• Sameer Sajoo, D.D.S, M.S.
• Jennifer Sakaris, LMT
• Alv E Sakrisson, MD
• Oksana Masi Salaam
• Katia Saladin, L.M.T.,
• Suheiry Saladin
• Aliya Kamilyevna Salahova

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.