Healthcare Provider Details
I. General information
NPI: 1205370426
Provider Name (Legal Business Name): ALKEME PSYCHOLOGY, APC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2016
Last Update Date: 09/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1029 H ST 403
SACRAMENTO CA
95814-2850
US
IV. Provider business mailing address
1029 H ST 403
SACRAMENTO CA
95814-2850
US
V. Phone/Fax
- Phone: 916-905-2107
- Fax: 888-975-3611
- Phone: 916-905-2107
- Fax: 888-975-3611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | PSY 27890 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
SHYMA
EL SAYED
Title or Position: BUSINESS OWNER/PSYCHOLOGIST
Credential: PSY.D.
Phone: 916-905-2107