Richard Marshall Sallick, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

015687 Issued in CT

Practice address

10 Mott Ave
3A
Norwalk, CT 06850-3320

Phone

(203) 857-4536

Fax

(203) 854-6987

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1356524904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOTT AVE",
            "address_2": "SUITE 3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503320",
            "telephone_number": "203-857-4536",
            "fax_number": "203-854-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MOTT AVE",
            "address_2": "3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503320",
            "telephone_number": "203-857-4536",
            "fax_number": "203-854-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLICK",
        "first_name": "RICHARD",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "015687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Sadler, P.A.
• Blanca Jackeline Saenz
• Sabrina Monet Saint Juste, MSW
• Janina Cristina Saintilus, OTR/L
• Agata Joanna Sajkiewicz, M.D.
• Verna Salmon
• Rona Salomon, D.D.S.
• Salon Dimensions
• Frances Salorio, MA LMFT
• Karen Jean Salzarulo Rattan, LCSW

• Psychiatry Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.