Individual provider Active NPI

Jean M. Salcedo, M.D., M.B.A.

  • Geriatric Psychiatry Physician
  • Goodlettsville, TN
National Provider Identifier
1386091700
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
61077 Issued in TN
Practice address
327 Caldwell Dr Ste 500
Goodlettsville, TN 37072-3410
Phone
(615) 239-1404
Fax
(615) 859-9906
NPI assigned
May 16, 2016
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 61077 TN
Geriatric Psychiatry Physician 2084P0805X 61077 TN Primary

Addresses

Primary practice location

327 Caldwell Dr Ste 500
Goodlettsville, TN 37072-3410

Mailing address

327 Caldwell Dr Ste 500
Goodlettsville, TN 37072-3410
Phone (615) 239-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA, NE, MN, IL, AL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20210915001019 TN Practitioner - Geriatric Psychiatry 6507262656 Reassigns benefits to 2 organizations
I20241031001696 IA Practitioner - Psychiatry 6507262656 Reassigns benefits to 1 organization
I20241031002144 NE Practitioner - Psychiatry 6507262656 Reassigns benefits to 1 organization
I20241031002437 MN Practitioner - Psychiatry 6507262656 Reassigns benefits to 1 organization
I20241031002592 IL Practitioner - Psychiatry 6507262656 Reassigns benefits to 1 organization
I20250321002691 AL Practitioner - Psychiatry 6507262656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians
Perkins-Janicek Psychiatric Group, PLLCGroup PAC ID 9739623729, 7 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-2115

150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone (855) 270-3625

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

158 Hospital Dr
Carthage, TN 37030-1083
Phone (615) 735-1560

258 Pine Tree Dr
Bigfork, MN 56628-4340
Phone (218) 743-3177

327 Caldwell Dr
Suite 500
Goodlettsville, TN 37072-3410
Phone (615) 239-1404

810 N 22ND St
Memorial Community Hospital and Hea
Blair, NE 68008-1128
Phone (402) 426-2182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Evizzit of Iowa Psychiatry PC Psychiatry CurrentSince Sep 26, 2024 Accepting new patients
Madison Behavioral Health, LLC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Elderberry Psychiatric Consulting Geriatric Psychiatry Current Accepting new patients
Perkins-Janicek Psychiatric Group, PLLC Psychiatry CurrentSince Apr 18, 2024 Accepting new patients

Locations

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1808 Civic Center Dr
Willmar, MN 56201
Phone (320) 231-1729

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

120 Two Mile Pike
Goodlettsville, TN 37072
Phone (615) 239-1404

327 Caldwell Dr
Ste 500
Goodlettsville, TN 37072
Phone (615) 239-1404

500 Church St
Hartsville, TN 37074
Phone (615) 374-2221

510 Hospital Dr
Ste 260
Madison, TN 37115
Phone (615) 769-5000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1386091700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CALDWELL DR STE 500",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723410",
            "telephone_number": "615-239-1404",
            "fax_number": "615-859-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CALDWELL DR STE 500",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723410",
            "telephone_number": "615-239-1404",
            "fax_number": "615-859-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "JEAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "61077",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "61077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.