Individual provider Active NPI

Brett Salkin

  • Professional Counselor
  • Chagrin Falls, OH
National Provider Identifier
1114284833
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C . 0003727 Issued in OH
Practice address
29000 Emery Rd
Chagrin Falls, OH 44022-1616
Phone
(216) 591-0700
Fax
(216) 591-0330
NPI assigned
Apr 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C . 0003727 OH Primary

Addresses

Primary practice location

29000 Emery Rd
Chagrin Falls, OH 44022-1616

Mailing address

29000 Emery Road
Orange Village, OH 44022-1616
Phone (216) 591-0700

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

State licenses

LicenseStateTypeSpecialty
C . 0003727OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1114284833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 EMERY ROAD",
            "city": "ORANGE VILLAGE",
            "state": "OH",
            "postal_code": "440221616",
            "telephone_number": "216-591-0700",
            "fax_number": "216-591-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 EMERY RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440221616",
            "telephone_number": "216-591-0700",
            "fax_number": "216-591-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKIN",
        "first_name": "BRETT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C . 0003727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.