Individual provider Active NPI

Maximino Salazar, PSYD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1326718487
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
40926 Issued in TX
Practice address
2222 Western Trails Blvd Ste 107
Austin, TX 78745-1601
Phone
(512) 522-4070
NPI assigned
Sep 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 40926 TX Primary

Addresses

Primary practice location

2222 Western Trails Blvd Ste 107
Austin, TX 78745-1601

Mailing address

2222 Western Trails Blvd Ste 107
Austin, TX 78745-1601
Phone (512) 522-4070

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
40926TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MSH Psychotherapy, PLLC Clinical Current Accepting new patients
Town of Arlington CurrentSince Sep 28, 2021 Accepting new patients

Locations

670R Massachusetts Ave
Arlington, MA 02476
Phone (781) 316-3255

2222 Western Trails Blvd
Ste 107
Austin, TX 78745
Phone (512) 522-4070

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.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1326718487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451601",
            "telephone_number": "512-522-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451601",
            "telephone_number": "512-522-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "MAXIMINO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.