Sal Psychiatry Services PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SAL PSYCHIATRY SERVICES PC

Doing business as

Sal Rediscovery Center

Practice address

12440 Firestone Blvd Ste 310
Norwalk, CA 90650-4397

Phone

(562) 280-7176

Fax

(562) 262-0735

NPI assigned

Aug 31, 2022

Last updated

May 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SAL PSYCHIATRY SERVICES PCAs reported in NPPES

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

Authorized official

Name

Hasmik Jasmine Avetisyan

Title

Director of Operations

Phone

(818) 469-9099

Specialties & licenses 2

Addresses

Other names 1

• Sal Rediscovery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sal Psychiatry Services PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Norwalk, CA
  • NPI 1962028936

  O20200818003587

  Same enrollment

Part of

Sal Psychiatry Services PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sal Psychiatry Services PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Norwalk, CA
  • NPI 1962028936
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salisu Adejo Aikoye, M.D.

  • Psychiatry Physician
  • Norwalk, CA
  • NPI 1497173694
  NPD
• Bridie Mae Johnson, LCSW

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1447642566
  NPD
• Catina M Piquion

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwalk, CA
  • NPI 1720365927
  NPD
• Leah Vismanos, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, CA
  • NPI 1508331737
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1518687367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 310",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504397",
            "telephone_number": "562-280-7176",
            "fax_number": "562-262-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 310",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504397",
            "telephone_number": "562-280-7176",
            "fax_number": "562-262-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAL PSYCHIATRY SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAL PSYCHIATRY SERVICES PC",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "818-469-9099"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sal Rediscovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sal Psychiatry Services PC
• Aida Salatinjants, M.D.
• Ana Maria Salazar Gutierrez, L.C.S.W.
• Deisy Salazar-Manzo
• Caitlin Maya Salazar

• Adult Mental Health Clinic/Center in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.