Active NPI
Amanie Salem, DO, MPH
- Child & Adolescent Psychiatry Physician
- New York, NY
National Provider Identifier
1508399890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 303950
- Practice address
- 1280 Lexington Ave FRNT 2, PMB 1429
New York, NY 10028-1353 - Phone
- (201) 292-4345
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 19424 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 303950 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 303950 | NY |
Addresses
Primary practice location
1280 Lexington Ave FRNT 2, PMB 1429
New York, NY 10028-1353
Mailing address
1280 Lexington Ave FRNT 2, PMB 1429
New York, NY 10028-1353
Other practice location 1
2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone (917) 734-5514
Other practice location 2
1438 S Grand Blvd
Monteleone Hall
Saint Louis, MO 63104-1027
Phone (314) 977-4800
Other practice location 3
525 E 68th St # 140
New York, NY 10065-4870
Phone (212) 746-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303950 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1508399890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 LEXINGTON AVE FRNT 2, PMB 1429",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 LEXINGTON AVE FRNT 2, PMB 1429",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281353",
"telephone_number": "201-292-4345"
}
],
"practiceLocations": [
{
"address_1": "2230 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958171353",
"country_code": "US",
"telephone_number": "917-734-5514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1438 S Grand Blvd",
"address_2": "Monteleone Hall",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041027",
"country_code": "US",
"telephone_number": "314-977-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 E 68th St # 140",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALEM",
"first_name": "AMANIE",
"credential": "DO, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "19424",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "303950",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "303950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.