Active NPI
Martin Salazar, PSYCHOLOGIST
- Psychologist
- Odessa, TX
National Provider Identifier
1760600365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25444
- Practice address
- 2817 John Ben Shepperd Pkwy
Suite E13
Odessa, TX 79762-8111 - Phone
- (432) 550-7991
- Fax
- (432) 362-7282
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25444 | TX | Primary |
Addresses
Primary practice location
2817 John Ben Shepperd Pkwy
Suite E13
Odessa, TX 79762-8111
Mailing address
PO Box 12355
Odessa, TX 79768-2355
Phone (432) 550-7991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25444 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760600365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12355",
"city": "ODESSA",
"state": "TX",
"postal_code": "797682355",
"telephone_number": "432-550-7991",
"fax_number": "432-362-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 JOHN BEN SHEPPERD PKWY",
"address_2": "SUITE E13",
"city": "ODESSA",
"state": "TX",
"postal_code": "797628111",
"telephone_number": "432-550-7991",
"fax_number": "432-362-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
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.