Individual provider Active NPI

Kerri Frances Salamanca, PH.D.

  • Psychologist
  • Carlisle, IN
National Provider Identifier
1538283395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040773A Issued in IN
Practice address
6908 S Old US Hwy 41
Wabash Valley Correctional Facility
Carlisle, IN 47838
Phone
(812) 398-5050
Fax
(812) 238-2870
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20040773A IN Primary

Addresses

Primary practice location

6908 S Old US Hwy 41
Wabash Valley Correctional Facility
Carlisle, IN 47838

Mailing address

1531 S 6TH St
Terre Haute, IN 47802-1607
Phone (812) 478-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040773AINMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538283395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021607",
            "telephone_number": "812-478-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 S OLD US HWY 41",
            "address_2": "WABASH VALLEY CORRECTIONAL FACILITY",
            "city": "CARLISLE",
            "state": "IN",
            "postal_code": "47838",
            "telephone_number": "812-398-5050",
            "fax_number": "812-238-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMANCA",
        "first_name": "KERRI",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040773A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.