Jill E Salem, PH.D., HSPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

20041615A Issued in IN

Practice address

1415 Salem St
Suite 102
Lafayette, IN 47904-4100

Phone

(765) 742-1816

Fax

(765) 742-2557

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpine Physicians, LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1225554801
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1104908706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 RAVINIA RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062361",
            "telephone_number": "765-742-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 SALEM ST",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479044100",
            "telephone_number": "765-742-1816",
            "fax_number": "765-742-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20041615A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200283590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Salazar, RD, LD
• Luis Antonio Salazar, PA-C
• Morgan Salazar, LCSW
• Sophia Salazar
• Jose G Salcedo Hernandez II, DDS
• Jonathan O Sales, PTA
• George J Saliba, M.D.
• Dustina Renae Sallee, MASTER IN PSYCHOLOGY
• Lauren N. Sallese, NP
• Chloe Christina Salway, LAT, ATC

• All providers in Lafayette, IN
• Clinical Neuropsychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.