Active NPI
Martin Salamack
- Clinical Psychologist
- Goshen, NY
National Provider Identifier
1033223474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9239
- Practice address
- Valley Behavioral Medicine
3 Hatfield Lane Suite 1
Goshen, NY 10924 - Phone
- (845) 291-7480
- Fax
- (845) 294-3785
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9239 | NY | Primary |
Addresses
Primary practice location
Valley Behavioral Medicine
3 Hatfield Lane Suite 1
Goshen, NY 10924
Mailing address
5110 12TH Ave
Brooklyn, NY 11219-3424
Phone (800) 275-3243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080314000340 | NY | Practitioner - Clinical Psychologist | 2769567726 | Practice locations: Middletown, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Missouri, Columbia School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Shirley Lane
Middletown, NY 10940-7941
2 Shirley LN
Middletown, NY 10940-7941
Phone (845) 386-1407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9239 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1033223474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 12TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193424",
"telephone_number": "800-275-3243",
"fax_number": "800-275-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VALLEY BEHAVIORAL MEDICINE",
"address_2": "3 HATFIELD LANE SUITE 1",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-291-7480",
"fax_number": "845-294-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMACK",
"first_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "9239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.