Active NPI
Richard G Salamone, PH.D
- Psychologist
- Bristol, TN
National Provider Identifier
1760468300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810001787
- Practice address
- 739 Bluff City Hwy
Bristol, TN 37620-4637 - Phone
- (423) 968-3099
- Fax
- (423) 968-3099
- NPI assigned
- Dec 15, 2005
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | P0000001583 | TN | |
| Clinical Neuropsychologist | 103G00000X | 0810001787 | VA | |
| Psychologist | 103T00000X | P0000001583 | TN | |
| Psychologist | 103T00000X | 0810001787 | VA | Primary |
Addresses
Primary practice location
739 Bluff City Hwy
Bristol, TN 37620-4637
Mailing address
739 Bluff City Hwy
Bristol, TN 37620-4637
Phone (423) 968-3099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4104256 | Other | TN | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0000001583 | TN | MD | Clinical Neuropsychologist |
| 0810001787 | VA | MD | Psychologist |
| 1625 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Pain Management Center, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Bristol, TN
- NPI 1326053760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760468300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 BLUFF CITY HWY",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204637",
"telephone_number": "423-968-3099",
"fax_number": "423-968-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 BLUFF CITY HWY",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204637",
"telephone_number": "423-968-3099",
"fax_number": "423-968-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMONE",
"first_name": "RICHARD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TN",
"license": "P0000001583",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810001787",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P0000001583",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810001787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4104256",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.