Active NPI
Julian A Salinas, PHD
- Psychologist
- Santa Rosa Beach, FL
National Provider Identifier
1093701005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6703
- Practice address
- 1593 S County Highway 393
Santa Rosa Beach, FL 32459-4218 - Phone
- (850) 267-3088
- Fax
- (850) 267-3081
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6703 | FL | Primary |
Addresses
Primary practice location
1593 S County Highway 393
Santa Rosa Beach, FL 32459-4218
Mailing address
PO Box 6512
Miramar Beach, FL 32550
Phone (850) 496-5689
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75012 | Other | FL | BCBS |
| 766993300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6703 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1093701005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6512",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "32550",
"telephone_number": "850-496-5689",
"fax_number": "850-267-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1593 S COUNTY HIGHWAY 393",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324594218",
"telephone_number": "850-267-3088",
"fax_number": "850-267-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALINAS",
"first_name": "JULIAN",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "75012",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766993300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.