Active NPI
Lynn Bressanutti Salsbury, PH.D.
- Clinical Psychologist
- Folsom, CA
National Provider Identifier
1114080496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14509
- Practice address
- 2360 E Bidwell St
Suite 107
Folsom, CA 95630-3406 - Phone
- (916) 983-1904
- Fax
- (916) 983-1981
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14509 | CA | Primary |
Addresses
Primary practice location
2360 E Bidwell St
Suite 107
Folsom, CA 95630-3406
Mailing address
2360 E Bidwell St
Suite 107
Folsom, CA 95630-3406
Phone (916) 983-1904
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14509 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114080496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 E BIDWELL ST",
"address_2": "SUITE 107",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303406",
"telephone_number": "916-983-1904",
"fax_number": "916-983-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 E BIDWELL ST",
"address_2": "SUITE 107",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303406",
"telephone_number": "916-983-1904",
"fax_number": "916-983-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALSBURY",
"first_name": "LYNN",
"middle_name": "BRESSANUTTI",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.