Individual provider Active NPI

Anja Salamack, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1861815011
Registry record updated Mar 15, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jan 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401680-1 Issued in NY
Practice address
125 Wolf Rd
108
Albany, NY 12205-2151
Phone
(518) 526-6713
Fax
(518) 730-0235
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401680-1 NY Primary

Addresses

Primary practice location

125 Wolf Rd
108
Albany, NY 12205-2151

Mailing address

125 Wolf Rd
108
Albany, NY 12205-2151
Phone (518) 526-6713

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
F401680-1NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1861815011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WOLF RD",
            "address_2": "108",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052151",
            "telephone_number": "518-526-6713",
            "fax_number": "518-730-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WOLF RD",
            "address_2": "108",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052151",
            "telephone_number": "518-526-6713",
            "fax_number": "518-730-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMACK",
        "first_name": "ANJA",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.