Sheppard Salusky, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1014 Issued in WA

Practice address

1800 Westlake Ave N
Suite 305
Seattle, WA 98109-2704

Phone

(206) 285-6915

Fax

(205) 285-1139

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sheppard Salusky Professional name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheppard Salusky, PH.D., PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1548409642
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1891919197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N",
            "address_2": "SUITE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092704",
            "telephone_number": "206-285-6915",
            "fax_number": "205-285-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N",
            "address_2": "SUITE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092704",
            "telephone_number": "206-285-6915",
            "fax_number": "205-285-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALUSKY",
        "first_name": "SHEPPARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEPPARD",
            "last_name": "SALUSKY",
            "prefix": "DR.",
            "credential": "PH.D., PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Guy Saltmarsh, MD
• Jamie Saltoon
• Matthew David Saltzman, MD
• Jonathan Paul Salud, M.D., M.P.H.
• Sunil Kumar Saluja, M.D.
• Jana Danielle Casanova Salvacion, PHARMD
• Jamila Lyka Salvador, PA-C
• Maria Gabriela Salvatierra
• Anthony Salvatore, DO, MS
• Jessica Anne Salvi

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.