Active NPI
Isha Salva, MD
- Psychiatry Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301065131
- Practice address
- 1700 Clinton St
Muskegon, MI 49442-5502 - Phone
- (231) 728-4950
- Fax
- (231) 728-4036
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 66055 | WI | |
| Psychiatry Physician | 2084P0800X | 4301065131 | MI | Primary |
Addresses
Primary practice location
1700 Clinton St
Muskegon, MI 49442-5502
Mailing address
PO Box 1177
Muskegon, MI 49443-1177
Phone (231) 727-4444
Other practice location 1
1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300
Other practice location 2
300 68th St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M34190019 | Other | MI | MEDICARE PTAN |
| 104359998 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PineRestCMHS@directaddress.pinerest.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66055 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Waukesha County | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Psychiatry | Current | Accepting new patients |
| Waukesha County | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Waukesha County | Current | Accepting new patients |
Locations
125 E Southern Ave
#120
Muskegon, MI 49442
Phone (231) 672-4950
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950
514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212
Interoperability endpoints
- isalva2423154@direct.trinity-health.org
Organizations & group practices 8
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.
-
- General Practice Physician
- Grand Rapids, MI
- NPI 1851309884
-
- Case Management Agency
- Waukesha, WI
- NPI 1740403146
-
dba ThedaCare Physicians
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1700894623
-
- Mental Illness Community Based Residential Treatment Facility
- Waukesha, WI
- NPI 1477314854
-
- Community/Behavioral Health Agency
- Waukesha, WI
- NPI 1982728168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1801819016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1177",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431177",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CLINTON ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425502",
"telephone_number": "231-728-4950",
"fax_number": "231-728-4036"
}
],
"practiceLocations": [
{
"address_1": "1095 Midway Rd",
"address_purpose": "LOCATION",
"city": "Menasha",
"state": "WI",
"postal_code": "549521115",
"country_code": "US",
"telephone_number": "920-720-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 68th St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495486927",
"country_code": "US",
"telephone_number": "616-455-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALVA",
"first_name": "ISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "66055",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301065131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M34190019",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104359998",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PineRestCMHS@directaddress.pinerest.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "300 68th St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495486927",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.