Amanda Salazar, Inc
Organization Active NPI Clinical Psychologist · Oakdale, NY
NPI 1093288227 · NPPES record last updated Jan 10, 2019
Key facts
- NPI
- 1093288227
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- AMANDA SALAZAR, INC
- Practice address
- 1563 Montauk Hwy
Oakdale, NY 11769-1322 - Phone
- (631) 563-3162
- NPI assigned
- Jan 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda Salazar, PSY.D.
- Title
- Psychologist
- Phone
- (631) 834-3038
Practitioners 1
-
Amanda Salazar, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220203000443 | NY | Part B Supplier - Clinic/Group Practice | 6507259116 |
Receives reassigned benefits from 1 practitioner Practice locations: Oakdale, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
1563 Montauk Hwy
Oakdale, NY 11769-1322
Mailing address
1563 Montauk Hwy
Oakdale, NY 11769-1322
Phone (631) 563-3162
Other providers in Oakdale, NY
- Gene Adamowicz
- Monique Evette Agudio
- Annamarie Elizabeth Albolote-Milewczik
- All Aboard Learning LLC
- Jonathan Michael Amato
- Amy Buckley LCSW
- Kelly Ann Andriano
- Danielle Ashby
- Salil Bakshi
All providers in Oakdale, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.