Active NPI
Lawrence H Salmansohn, ED.D.
- Clinical Neuropsychologist
- Boca Raton, FL
National Provider Identifier
1063458123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0004643
- Practice address
- 4400 N Federal Hwy
Suite 210
Boca Raton, FL 33431-5187 - Phone
- (561) 638-1932
- Fax
- (561) 638-1932
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0004643 | FL | Primary |
| Clinical Psychologist | 103TC0700X | 0004643 | FL | |
| Health Service Psychologist | 103TH0100X | 0004643 | FL |
Addresses
Primary practice location
4400 N Federal Hwy
Suite 210
Boca Raton, FL 33431-5187
Mailing address
12893 Cocoa Pine Dr
Boynton Beach, FL 33436-6144
Phone (561) 638-1932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129000710 | FL | Practitioner - Psychologist Billing Independently | 3072416817 | Practice locations: Boca Raton, FL; Boynton Beach, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4400 N Federal Hwy
Suite 210
Boca Raton, FL 33431-5195
Phone (561) 638-1932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004643 | FL | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1063458123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12893 COCOA PINE DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334366144",
"telephone_number": "561-638-1932",
"fax_number": "561-638-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N FEDERAL HWY",
"address_2": "SUITE 210",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315187",
"telephone_number": "561-638-1932",
"fax_number": "561-638-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMANSOHN",
"first_name": "LAWRENCE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "0004643",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "0004643",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "0004643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.