Seoka A. Salstrom, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-007362 Issued in IL

Practice address

45 Lyme Rd
Suite 305a
Hanover, NH 03755

Phone

(603) 755-6535

Fax

(603) 389-9331

NPI assigned

Dec 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 30, 2017 through Jan 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Hanover Center for Cognitive Behavioral Therapies, P.C.

  • Cognitive & Behavioral Psychologist
  • Hanover, NH
  • NPI 1801420914
  NPD (past) Authorized official

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1710160650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LYME RD",
            "address_2": "SUITE 305A",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-755-6535",
            "fax_number": "603-389-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYME RD",
            "address_2": "SUITE 305A",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-755-6535",
            "fax_number": "603-389-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALSTROM",
        "first_name": "SEOKA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0110832",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007362",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-007362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "071.007362",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rice, LICSW
• Richard D Brannen OD PLLC
• Megan Ritenour, PT
• Robo Inc.
• Scott Jerry Roy, ATC
• Fred William Salvatoriello, DMD
• Joanne Sandberg-Cook, APRN
• Sarah Ackerman, PH.D., LLC
• Sau #70
• Scandia Medical Group PLLC

• Clinical Psychologist in Hanover, NH
• Providers in Hanover, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.