Individual provider Active NPI

Kenneth L Salzman, PH.D.

  • Psychologist
  • Lansing, MI
National Provider Identifier
1033141809
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301003959 Issued in MI
Practice address
3815 W Saint Joseph St Ste B400A
Lansing, MI 48917-5605
Phone
(517) 482-0033
Fax
(517) 321-3777
NPI assigned
Jul 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301003959 MI Primary

Addresses

Primary practice location

3815 W Saint Joseph St Ste B400A
Lansing, MI 48917-5605

Mailing address

3815 W Saint Joseph St Ste B400A
Lansing, MI 48917-5605
Phone (517) 482-0033

Other identifiers 4

IdentifierTypeStateIssuer
035891OtherMIVALUEOPTIONS MH
680C346140OtherMIBCBS OF MICHIGAN
1009259OtherMIMCLAREN HEALTH PLAN
0C32059OtherMIBCBSM PROVIDER IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110222001155 MI Practitioner - Clinical Psychologist 1254463672 Practice locations: Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3815 W Saint Joseph St
Lansing, MI 48917-3666
Phone (517) 482-0033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301003959MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
A New Hope Counseling Center Psychologist PastSince Jun 15, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033141809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 W SAINT JOSEPH ST STE B400A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175605",
            "telephone_number": "517-482-0033",
            "fax_number": "517-321-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 W SAINT JOSEPH ST STE B400A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175605",
            "telephone_number": "517-482-0033",
            "fax_number": "517-321-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZMAN",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301003959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS MH",
            "identifier": "035891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "680C346140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1009259",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0C32059",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.