Active NPI
Charles Greg Sallas, M.M.F.T.
- Marriage & Family Therapist
- Montgomery, AL
National Provider Identifier
1891984035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L113
- Practice address
- 3800 Vaughn Rd
Montgomery, AL 36106-3001 - Phone
- (334) 273-9833
- Fax
- (334) 396-0981
- NPI assigned
- Oct 23, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | L113 | AL | Primary |
Addresses
Primary practice location
3800 Vaughn Rd
Montgomery, AL 36106-3001
Mailing address
3800 Vaughn Rd
Montgomery, AL 36106-3001
Phone (334) 273-9833
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 |
|---|---|---|---|
| L113 | AL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1891984035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 VAUGHN RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063001",
"telephone_number": "334-273-9833",
"fax_number": "334-396-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 VAUGHN RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063001",
"telephone_number": "334-273-9833",
"fax_number": "334-396-0981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLAS",
"first_name": "CHARLES",
"middle_name": "GREG",
"name_prefix": "Mr.",
"credential": "M.M.F.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.