Individual provider Active NPI

Heidi Faith Saltzman

  • Clinical Psychologist
  • Evergreen, CO
National Provider Identifier
1740293497
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2645 Issued in CO
Practice address
28000 Meadow Dr
Unit 9
Evergreen, CO 80439-2116
Phone
(303) 810-5856
Fax
(303) 838-6520
NPI assigned
Aug 14, 2006
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2645 CO Primary

Addresses

Primary practice location

28000 Meadow Dr
Unit 9
Evergreen, CO 80439-2116

Mailing address

PO Box 854
Conifer, CO 80433
Phone (303) 810-5856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316001101 CO Practitioner - Clinical Psychologist 0345130209 Reassigns benefits to 1 organization
Practice locations: Evergreen, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28000 Meadow Dr
Evergreen, CO 80439-8395
Phone (303) 810-5856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2645COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi Saltzman PHD CurrentSince Dec 6, 2020 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 17, 2022 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1740293497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "80433",
            "telephone_number": "303-810-5856",
            "fax_number": "303-816-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 MEADOW DR",
            "address_2": "UNIT 9",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392116",
            "telephone_number": "303-810-5856",
            "fax_number": "303-838-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "HEIDI",
        "middle_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.