NPIMap

Organization Active NPI

Waters & Kaklamanos, LLC

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1801154877
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7401 Issued in FL
Legal business name
WATERS & KAKLAMANOS, LLC
Practice address
1664-2 Metropolitan Circle
Tallahassee, FL 32308-5413
Phone
(850) 385-1190
Fax
(850) 385-1191
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Keely Waters Kaklamanos, PH.D.
Title
Licensed Psychologist, Manager
Phone
(850) 528-8895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY7401 FL Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY4135 FL

Addresses

Primary practice location

1664-2 Metropolitan Circle
Tallahassee, FL 32308-5413

Mailing address

1664-2 Metropolitan Cir
Tallahassee, FL 32308-5413
Phone (850) 528-8895

National Provider Directory

National Provider Directory
Tax ID family
Waters Kaklamanos2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1801154877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664-2 METROPOLITAN CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085413",
            "telephone_number": "850-528-8895",
            "fax_number": "850-385-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664-2 METROPOLITAN CIRCLE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085413",
            "telephone_number": "850-385-1190",
            "fax_number": "850-385-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS & KAKLAMANOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "KAKLAMANOS",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "WATERS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, MANAGER",
        "authorized_official_telephone_number": "850-528-8895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7401",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.