Susana Ortiz Salgado, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY22980 Issued in CA

Practice address

22996 El Toro Rd Ste 103
Lake Forest, CA 92630-4961

Phone

(949) 942-1991

Fax

(949) 942-1969

NPI assigned

Mar 8, 2019

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• RR&C. a Psychological Corporation

  dba Mind Body Corazon

  • Clinical Psychologist
  • Lake Forest, CA
  • NPI 1083309306
  NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1093273013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22996 EL TORO RD STE 109",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22996 EL TORO RD STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961",
            "telephone_number": "949-942-1991",
            "fax_number": "949-942-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "SUSANA",
        "middle_name": "ORTIZ",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY22980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Salas
• Layah Salazar
• Eduardo Saldivar
• Iman Saleh
• Parisa Saleminik
• Ronald Anthony Salupo, DC
• Angel Salvador
• Sammed Supply LLC
• Timothy Lee Sams, PHD
• San Pedro Healing Arts Medical Clinic Inc

• Counseling Psychologist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.