Stacey Lee Salant, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003374 Issued in VA

Practice address

1604 Hilltop West Shopping Ctr Ste 215
Virginia Beach, VA 23451-6196

Phone

(757) 351-4650

Fax

(757) 932-5432

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• State of Connecticut

  dba Connecticut Mental Health Center

  • Psychiatric Hospital
  • New Haven, CT
  • NPI 1881629434
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1033157680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HILLTOP WEST SHOPPING CTR STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516196",
            "telephone_number": "757-351-4650",
            "fax_number": "757-932-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HILLTOP WEST SHOPPING CTR STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516196",
            "telephone_number": "757-351-4650",
            "fax_number": "757-932-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALANT",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002560",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Therapy
• Sailon Plastic Surgery LLC
• Alexander Marino Sailon, M.D.
• Salaam Initiative
• Michael Peter Salant, LCSW
• Marilyn G Salasky, LCSW
• Jacqueline Salcedo, M.D.
• Kathleen Sale, MS
• Muhanad Awni Salem, DMD
• E Jeanne Salemi, LCSW

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.

Verify at the official NPI Registry.