DAVID SAKETKOO PSYD PA – Clinical Psychologist, NPI 1265470108

DAVID SAKETKOO PSYD PA is a healthcare provider. based in Plantation, Florida. specializing in Clinical Psychologist. The organization holds a License No. PY7001 (FL). The NPI Number for DAVID SAKETKOO PSYD PA is 1265470108

Main info

Organization
Name
DAVID SAKETKOO PSYD PA
NPI
1265470108
Phone
(954) 452-6839
Address
9749 SW 1ST ST
Authorized Official
DAVID SAKETKOO PRESIDENT PSY.D.
Enumeration Date
3 June 2006
Last Update Date
20 October 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID SAKETKOO PSYD PA

  • 9749, Southwest 1st Street, Jacaranda, Plantation, Broward County, Florida, 33324, United States

    PLANTATION, FL 333242314

    Phone: (954) 452-6839

    Fax: (954) 563-5807

    Type: Mailing

  • 1040, Bayview Drive, Fort Lauderdale, Broward County, Florida, 33304, United States

    SUITE 534

    FORT LAUDERDALE, FL 333042522

    Phone: (954) 993-7807

    Fax: (954) 563-5807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060503000571OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33324)

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Reviews

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Frequently asked questions

Does DAVID SAKETKOO PSYD PA have a public NPI I can cite?
Public records show DAVID SAKETKOO PSYD PA under NPI 1265470108.
Is DAVID SAKETKOO PSYD PA's NPI status active today?
Active status means DAVID SAKETKOO PSYD PA's NPI record is not deactivated in the public file.
What does the directory say DAVID SAKETKOO PSYD PA does?
Insurance directories may phrase it differently, but here DAVID SAKETKOO PSYD PA maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAVID SAKETKOO PSYD PA?
DAVID SAKETKOO PSYD PA is associated with Plantation, Florida in the same public data insurers reference.
Who maintains DAVID SAKETKOO PSYD PA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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