Individual provider Active NPI

Kim C Salinger, PMHNP, FNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1053610980
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21915 Issued in CA
Practice address
4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187
Phone
(415) 797-7443
Fax
(415) 727-9222
NPI assigned
Mar 17, 2011
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21915 CA
Family Nurse Practitioner 363LF0000X 21915 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21915 CA Primary

Addresses

Primary practice location

4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187

Mailing address

1011 Surrey Lane
BLDG 200
Flower Mound, TX 75022
Phone (888) 310-1808

Other practice location 1

239 Miller Ave
Mill Valley, CA 94941-2841
Phone (415) 797-7443

Other practice location 2

3597 E Monarch Sky Ln Ste 240
Meridian, ID 83646-1055
Phone (888) 310-1808

Other practice location 3

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone (888) 310-1808

Other practice location 4

1011 Surrey Ln Ste 200
Flower Mound, TX 75022-4274
Phone (888) 310-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ID, CA, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250808000541 AZ Practitioner - Nurse Practitioner 8820596935 Reassigns benefits to 1 organization
I20250901000520 ID Practitioner - Nurse Practitioner 8820596935 Reassigns benefits to 1 organization
I20250905001801 CA Practitioner - Nurse Practitioner 8820596935 Reassigns benefits to 1 organization
I20251002000526 TX Practitioner - Nurse Practitioner 8820596935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
246037CAMDCommunity Health Registered Nurse
21915CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Jul 29, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 25, 2025 Accepting new patients
Holistic Psych Care & Integrative Wellness LLC Current Accepting new patients
Holistica Vip LLC Current Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

4040 Civic Center Dr
Ste 200
San Rafael, CA 94903
Phone (415) 795-8050

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

1011 Surrey Ln
Ste 200
Flower Mound, TX 75022
Phone (469) 248-7591

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25478/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1053610980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SURREY LANE",
            "address_2": "BLDG 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 CIVIC CENTER DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034187",
            "telephone_number": "415-797-7443",
            "fax_number": "415-727-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949412841",
            "country_code": "US",
            "telephone_number": "415-797-7443",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3597 E Monarch Sky Ln Ste 240",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461055",
            "country_code": "US",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15333 N Pima Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602717",
            "country_code": "US",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Surrey Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750224274",
            "country_code": "US",
            "telephone_number": "888-310-1808",
            "fax_number": "415-727-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALINGER",
        "first_name": "KIM",
        "middle_name": "C",
        "credential": "PMHNP, FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21915",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.