Active NPI
Salma Wahidi, PSY. D
- Clinical Psychologist
- Santa Clarita, CA
National Provider Identifier
1003225707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30852
- Practice address
- 21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947 - Phone
- (661) 259-9439
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PSB94022530 | CA | |
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | PSY30852 | CA | Primary |
Addresses
Primary practice location
21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947
Mailing address
20115 Drasin Dr
Canyon Country, CA 91351-1015
Phone (661) 666-1993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94022530 | CA | MD | Mental Health Counselor |
| PSY30852 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles LGBT Center | Current | Accepting new patients | |
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Los Angeles LGBT Center | Current | Accepting new patients |
Locations
1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400
1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400
Interoperability endpoints
- salmawahidi-tarzanatc@lacsapc.netsmartdirect.net
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1548298532
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1225599178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1003225707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20115 DRASIN DR",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913511015",
"telephone_number": "661-666-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21545 CENTRE POINTE PKWY",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502947",
"telephone_number": "661-259-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHIDI",
"first_name": "SALMA",
"name_prefix": "Dr.",
"credential": "PSY. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PSB94022530",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.