Active NPI
Jeremy Salzman
- Psychologist
- Atlanta, GA
National Provider Identifier
1851777635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY004140
- Practice address
- 550 Pharr Rd NE Ste 605
Atlanta, GA 30305-3469 - Phone
- (404) 235-5982
- NPI assigned
- Aug 4, 2015
- Last updated
- May 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 | PSY004140 | GA | Primary |
Addresses
Primary practice location
550 Pharr Rd NE Ste 605
Atlanta, GA 30305-3469
Mailing address
550 Pharr Rd
Suite 605
Atlanta, GA 30305-8520
Other practice location 1
1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 366-4040
Other practice location 2
314 Maxwell Rd
Alpharetta, GA 30009-2011
Phone (770) 442-9447 ext. 121
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 |
|---|---|---|---|
| PSY004140 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intown Psychology, LLC | Psychologist | Current | Accepting new patients |
| Nexus Psychiatry Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Atlanta, GA
- NPI 1275272049
-
- Child & Adolescent Psychiatry Physician
- Atlanta, GA
- NPI 1841179116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1851777635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PHARR RD",
"address_2": "SUITE 605",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303058520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PHARR RD NE STE 605",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303053469",
"telephone_number": "404-235-5982"
}
],
"practiceLocations": [
{
"address_1": "1722 S Lewis Rd",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930128520",
"country_code": "US",
"telephone_number": "805-366-4040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "314 Maxwell Rd",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300092011",
"country_code": "US",
"telephone_number": "770-442-9447 x121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALZMAN",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY004140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Lauren Frances Salvemini
- Lisa F. Salzberg, PH.D.
- Robyn Jill Salzberg
- Salzinger Chiropractic Group (Chiropractic Healthcare of Buc)
- Bruce Lee Salzinger, D.C., CCSP
- Sam Corley Speech LLC
- Sam Peng MD PC
- Brickson Braima Sam Jr.
- Sam's Club Optical (Sam's Club Optical 30-6643)
- Julia Surangama Samaddar, MD MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.