Elliot David Salk, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1176 Issued in AZ

Practice address

3509 E Shea Blvd
#117
Phoenix, AZ 85028-3336

Phone

(602) 569-0406

NPI assigned

Dec 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1760711683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 E GREENWAY RD",
            "address_2": "#107-B, PMB 282",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850328513",
            "telephone_number": "602-679-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E SHEA BLVD",
            "address_2": "#117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283336",
            "telephone_number": "602-569-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALK",
        "first_name": "ELLIOT",
        "middle_name": "DAVID",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1176",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301001675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria M Salinas, BCBA, LBA
• Katriana Saline, OTR/L
• Naomi M. Salins, MD
• Holly Salisbury, PSY.D.
• Jennifer Salisbury, BC-HIS
• Aleksandra Salkic
• Amir Salkic
• Arjun Singh Sall, D.D.S
• Karyn Sallus, DPM
• Toni Margaret Salm, MD

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.