Organization Active NPI

Gregory P Salerno PHD a Psychology Corporation

  • Psychologist
  • San Jose, CA
National Provider Identifier
1548896236
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GREGORY P SALERNO PHD A PSYCHOLOGY CORPORATION
Practice address
390 Spar Ave Ste 205
San Jose, CA 95117-1644
Phone
(408) 243-4776
Fax
(408) 243-1593
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Dr. Gregory Peter Salerno, PH.D.NPI 1144330564
Title
Owner/Ceo
Phone
(408) 243-4776

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

390 Spar Ave Ste 205
San Jose, CA 95117-1644

Mailing address

390 Spar Ave Ste 205
San Jose, CA 95117-1644
Phone (408) 243-4776

Other identifiers 1

IdentifierTypeStateIssuer
1144330564OtherCAPRIVATE PRACTICE

National Provider Directory

National Provider Directory

Locations

390 Spar Ave
Ste 205
San Jose, CA 95117
Phone (408) 243-4776

Practitioners & affiliated clinicians

Practitioners 1

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": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1548896236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SPAR AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171644",
            "telephone_number": "408-243-4776",
            "fax_number": "408-243-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SPAR AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171644",
            "telephone_number": "408-243-4776",
            "fax_number": "408-243-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P SALERNO PHD A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "SALERNO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "408-243-4776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "1144330564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.