Individual provider Active NPI

Elizabeth Salick, PSY.D.

  • Psychologist
  • Beverly Hills, CA
National Provider Identifier
1346348158
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01689901 Issued in NY
Practice address
9777 Wilshire Blvd
512
Beverly Hills, CA 90212-1910
Phone
(310) 351-9822
Fax
(310) 967-3377
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01689901 NY Primary

Addresses

Primary practice location

9777 Wilshire Blvd
512
Beverly Hills, CA 90212-1910

Mailing address

9777 Wilshire Blvd
512
Beverly Hills, CA 90212-1910
Phone (310) 351-9822

Other identifiers 1

IdentifierTypeStateIssuer
01689901OtherNYNYS LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01689901NYMDPsychologist
016899NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard Salick Past Accepting new patients
Aging Matters Psychological Services, PC Psychologist PastSince Mar 1, 2006 Accepting new patients
Canon Medical Group Inc Past Accepting new patients

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1346348158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD",
            "address_2": "512",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-351-9822",
            "fax_number": "310-967-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD",
            "address_2": "512",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-351-9822",
            "fax_number": "310-967-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALICK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "01689901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "01689901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.