Individual provider Active NPI

John C Salaz, M.A

  • School Psychologist
  • Albuquerque, NM
National Provider Identifier
1750541470
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
292962 Issued in NM
Practice address
1700 Indian Plaza Dr NE Apt 8
Albuquerque, NM 87106-1029
Phone
(505) 269-5242
NPI assigned
Jun 16, 2008
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0111881 NM
School Psychologist 103TS0200X 292962 NM Primary

Addresses

Primary practice location

1700 Indian Plaza Dr NE Apt 8
Albuquerque, NM 87106-1029

Mailing address

1700 Indian Plaza Dr NE Apt 8
Albuquerque, NM 87106-1029
Phone (505) 269-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-0111881NMMDMental Health Counselor
292962NMMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1750541470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 INDIAN PLAZA DR NE APT 8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061029",
            "telephone_number": "505-269-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 INDIAN PLAZA DR NE APT 8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061029",
            "telephone_number": "505-269-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZ",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0111881",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "292962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.