Barry Salewsky, BSN

Key facts

NPI

1043760176

Entity type

Individual (NPI type 1)

Primary specialty

Community/Behavioral Health Agency 251S00000X

License

1000000019291 (TN)

Practice address

619 Shelby St
Bristol, TN 37620-2240

Phone

(276) 243-6085

NPI assigned

Oct 13, 2016

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• New Horizons Bristol Adult Mental Health Clinic/Center · Bristol, TN · NPI 1992240386
  NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor on Science - Nursing

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2017.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1043760176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2015",
            "city": "CHILHOWIE",
            "state": "VA",
            "postal_code": "243192015",
            "telephone_number": "276-243-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SHELBY ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202240",
            "telephone_number": "276-243-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEWSKY",
        "first_name": "BARRY",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000019291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bristol, TN · Community/Behavioral Health Agency in Tennessee