Individual provider Active NPI

Jesus Alberto Salas, PSY.D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1801856505
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015605 Issued in PA
Practice address
1251 S Cedar Crest Blvd
Suite 211D
Allentown, PA 18103-6205
Phone
(610) 432-5066
Fax
(610) 432-0973
NPI assigned
Mar 25, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 PS015605 PA Primary

Addresses

Primary practice location

1251 S Cedar Crest Blvd
Suite 211D
Allentown, PA 18103-6205

Mailing address

1251 S Cedar Crest Blvd
Suite 211D
Allentown, PA 18103-6205
Phone (610) 432-5066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000015 PA Practitioner - Clinical Psychologist 0446260343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Integrative Psychotherapy PCGroup PAC ID 2264442979, 2 clinicians

Practice addresses (Care Compare)

1011 Brookside Rd
Suite 235
Allentown, PA 18106-9020
Phone (610) 432-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative Psychotherapy PC Clinical CurrentSince Feb 1, 2006 Accepting new patients

Locations

1011 Brookside Rd
Ste 235
Allentown, PA 18106
Phone (610) 432-5066

1251 S Cedar Crest Blvd
Ste 211D
Allentown, PA 18103
Phone (610) 432-5066

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1801856505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 211D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-432-5066",
            "fax_number": "610-432-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 211D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-432-5066",
            "fax_number": "610-432-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JESUS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.