Organization Active NPI

Alicia Salvo Psychological Services PC

  • Clinical Psychologist
  • Amityville, NY
National Provider Identifier
1497030423
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ALICIA SALVO PSYCHOLOGICAL SERVICES PC
Practice address
81 Louden Ave
Amityville, NY 11701-2736
Phone
(917) 771-2721
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Alicia B SalvoNPI 1912996570
Title
Owner
Phone
(917) 771-2721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

81 Louden Ave
Amityville, NY 11701-2736

Mailing address

29 Locust PL
Manhasset, NY 11030-1823
Phone (917) 771-2721

Other identifiers 1

IdentifierTypeStateIssuer
02086533MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000006 NY Part B Supplier - Clinic/Group Practice 1850568502 Receives reassigned benefits from 1 practitioner
Practice locations: Rockaway Park, NY; Amityville, NY

National Provider Directory

National Provider Directory

Locations

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1497030423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LOCUST PL",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301823",
            "telephone_number": "917-771-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 LOUDEN AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012736",
            "telephone_number": "917-771-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA SALVO PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "SALVO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-771-2721"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02086533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.