Active NPI
Alexandria Grazia Salerno, PSY.D.
- Clinical Psychologist
- Oak Brook, IL
National Provider Identifier
1194244152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010241
- Practice address
- 1200 Harger Rd Ste 600
Oak Brook, IL 60523-1820 - Phone
- (630) 571-5750
- Fax
- (630) 571-5751
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 071.010241 | IL | Primary |
Addresses
Primary practice location
1200 Harger Rd Ste 600
Oak Brook, IL 60523-1820
Mailing address
1200 Harger Rd Ste 600
Oak Brook, IL 60523-1820
Phone (630) 571-5750
Other practice location 1
9650 Zelzah Ave
Northridge, CA 91325-2003
Phone (818) 993-9311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asalerno@sharedvision.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010241 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shared Vision Psychological Services | Clinical | Past | Accepting new patients |
| Adam Shafer, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1659804003
-
- Clinical Psychologist
- Oak Brook, IL
- NPI 1275738130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1194244152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HARGER RD STE 600",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231820",
"telephone_number": "630-571-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HARGER RD STE 600",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231820",
"telephone_number": "630-571-5750",
"fax_number": "630-571-5751"
}
],
"practiceLocations": [
{
"address_1": "9650 Zelzah Ave",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913252003",
"country_code": "US",
"telephone_number": "818-993-9311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALERNO",
"first_name": "ALEXANDRIA",
"middle_name": "GRAZIA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010241",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asalerno@sharedvision.org",
"affiliation": "N",
"endpointDescription": "Place of work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1200 Harger Rd Ste 600",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.