Individual provider Active NPI

Myra D Saltoun, PH.D.

  • Clinical Psychologist
  • Ventura, CA
National Provider Identifier
1366560559
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10486 Issued in CA
Practice address
3585 Maple St Ste 150
Ventura, CA 93003-9115
Phone
(805) 644-9884
NPI assigned
Mar 26, 2007
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 PSY10486 CA Primary

Addresses

Primary practice location

3585 Maple St Ste 150
Ventura, CA 93003-9115

Mailing address

3585 Maple St Ste 150
Ventura, CA 93003-9115
Phone (805) 644-9884

Other names 1

  • Dr. Myra Saltoun-Moran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803000144 CA Order and Referring Only - Clinical Psychologist 2961773346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10486CAMDClinical Psychologist
10486CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1366560559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 150",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039115",
            "telephone_number": "805-644-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 150",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039115",
            "telephone_number": "805-644-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTOUN",
        "first_name": "MYRA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "SALTOUN-MORAN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.