Individual provider Active NPI

Michele Saloner, PH.D.

  • Clinical Psychologist
  • Novato, CA
National Provider Identifier
1457569394
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11542 Issued in CA
Practice address
690 De Long Ave
Suite 150
Novato, CA 94945-3359
Phone
(415) 884-2131
Fax
(415) 884-0371
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 PSY11542 CA Primary

Addresses

Primary practice location

690 De Long Ave
Suite 150
Novato, CA 94945-3359

Mailing address

120 El Capitan Dr
San Rafael, CA 94903-1003
Phone (415) 884-2131

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
I20050805000864 CA Practitioner - Clinical Psychologist 6901835347 Practice locations: San Rafael, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 El Capitan Dr
San Rafael, CA 94903-1003
Phone (415) 609-3981

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1457569394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EL CAPITAN DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031003",
            "telephone_number": "415-884-2131",
            "fax_number": "415-884-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 DE LONG AVE",
            "address_2": "SUITE 150",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453359",
            "telephone_number": "415-884-2131",
            "fax_number": "415-884-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALONER",
        "first_name": "MICHELE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.