Active NPI
Meena Saleh, PHD
- Clinical Neuropsychologist
- Oakland, CA
National Provider Identifier
1568092617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY30148
- Practice address
- 3756 Grand Ave
Ste 404
Oakland, CA 94610-1545 - Phone
- (510) 255-3552
- NPI assigned
- Jan 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY30148 | CA | Primary |
Addresses
Primary practice location
3756 Grand Ave
Ste 404
Oakland, CA 94610-1545
Mailing address
3756 Grand Ave
Ste 404
Oakland, CA 94610-1545
Phone (510) 255-3552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210201001346 | CA | Practitioner - Clinical Psychologist | 9234543398 | Practice locations: Oakland, CA; Pasadena, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30148 | CA | MD | Clinical Neuropsychologist |
| 30148 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1568092617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 GRAND AVE",
"address_2": "STE 404",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101545",
"telephone_number": "510-255-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3756 GRAND AVE",
"address_2": "STE 404",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101545",
"telephone_number": "510-255-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "MEENA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY30148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.