Tofunmi Tayo Salau, MSIS, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

80328 Issued in TX

Practice address

20180 Park Row Dr Unit 6004
Katy, TX 77491-1443

Phone

(832) 753-1314

NPI assigned

Nov 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mr. Tim Fow Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tim Salau

  • Psychologist
  • Katy, TX
  • NPI 1275238842
  NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1679283709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20180 PARK ROW DR UNIT 6004",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774911443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 PARK ROW DR UNIT 6004",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774911443",
            "telephone_number": "832-753-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAU",
        "first_name": "TOFUNMI",
        "middle_name": "TAYO",
        "name_prefix": "Dr.",
        "credential": "MSIS, PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "80328",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "TX",
            "license": "80328",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "80328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "80328",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "FOW",
            "prefix": "MR.",
            "credential": "M.S.I.S., PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Saifee Oms PLLC
• Christin Sajan
• Sajja Prasuna MD PA
• Prasuna Sajja, MD
• Juan J Salas Quintero
• Bianca Salazar
• Jennifer Salazar, PA-C
• Bianca Saldivar, RBT
• David Alberto Saldivar
• Erum Saleem, RCS

• Psychologist in Katy, TX
• Providers in Katy, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.