Individual provider Active NPI

Carole Ann Salvador, PSY.D.

  • Psychologist
  • Cedar Grove, NJ
National Provider Identifier
1376660654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1923 Issued in NJ
Practice address
882 Pompton Ave Ste A1
Cedar Grove, NJ 07009-1256
Phone
(973) 239-0852
Fax
(973) 239-2597
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1923 NJ Primary

Addresses

Primary practice location

882 Pompton Ave Ste A1
Cedar Grove, NJ 07009-1256

Mailing address

882 Pompton Ave Ste A1
Cedar Grove, NJ 07009-1256
Phone (973) 239-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110112000429 NJ Practitioner - Clinical Psychologist 1658319579 Practice locations: Cedar Grove, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

882 Pompton Ave
Cedar Grove, NJ 07009-1256
Phone (973) 239-0852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1923NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376660654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 POMPTON AVE STE A1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091256",
            "telephone_number": "973-239-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 POMPTON AVE STE A1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091256",
            "telephone_number": "973-239-0852",
            "fax_number": "973-239-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.