Individual provider Active NPI

Daniel Marks Salzer, PH.D.

  • Clinical Psychologist
  • Woodinville, WA
National Provider Identifier
1760547442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002086 Issued in WA
Practice address
17311 135TH Ave NE
Suite C-100
Woodinville, WA 98072-3519
Phone
(425) 483-4136
Fax
(425) 483-4136
NPI assigned
Dec 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PY00002086 WA Primary

Addresses

Primary practice location

17311 135TH Ave NE
Suite C-100
Woodinville, WA 98072-3519

Mailing address

17311 135TH Ave NE
Suite C-100
Woodinville, WA 98072-3519
Phone (425) 483-4136

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

LicenseStateTypeSpecialty
PY00002086WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760547442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 135TH AVE NE",
            "address_2": "SUITE C-100",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723519",
            "telephone_number": "425-483-4136",
            "fax_number": "425-483-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 135TH AVE NE",
            "address_2": "SUITE C-100",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723519",
            "telephone_number": "425-483-4136",
            "fax_number": "425-483-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZER",
        "first_name": "DANIEL",
        "middle_name": "MARKS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.