Individual provider Active NPI

Steven W Saldukas, PHD

  • Psychologist
  • Naples, FL
National Provider Identifier
1003914870
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5629 Issued in FL
Practice address
1415 Panther LN
#142
Naples, FL 34109-7874
Phone
(239) 293-0230
Fax
(239) 591-6217
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5629 FL Primary

Addresses

Primary practice location

1415 Panther LN
#142
Naples, FL 34109-7874

Mailing address

1415 Panther LN
#142
Naples, FL 34109-7874
Phone (239) 293-0230

Other identifiers 2

IdentifierTypeStateIssuer
761632500MedicaidFL
1225282023OtherFLCORPORATE NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090408000321 FL Practitioner - Clinical Psychologist 2163579202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1044 Castello Dr
Naples, FL 34103-8901
Phone (239) 304-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5629FLMDPsychologist
5629FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven W Saldukas PHD PA Psychologist CurrentSince Feb 13, 2009 Accepting new patients
Center for Psychology, PA PastSince Mar 22, 2017 Accepting new patients

Locations

1044 Castello Dr
Ste 210
Naples, FL 34103
Phone (239) 784-3420

1044 Castello Dr
Naples, FL 34103
Phone (239) 200-1891

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1003914870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "#142",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-293-0230",
            "fax_number": "239-591-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "#142",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-293-0230",
            "fax_number": "239-591-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDUKAS",
        "first_name": "STEVEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761632500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1225282023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.