Individual provider Active NPI

David M Saltzman, PH.D.

  • Clinical Psychologist
  • Lithia Springs, GA
National Provider Identifier
1902973928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001463 Issued in GA
Practice address
1515 Westfork Drive
Suite B
Lithia Springs, GA 30122
Phone
(770) 739-2278
Fax
(770) 739-2279
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 001463 GA Primary

Addresses

Primary practice location

1515 Westfork Drive
Suite B
Lithia Springs, GA 30122

Mailing address

4954 Kingsbridge CT
Powder Springs, GA 30127-6922
Phone (770) 919-1295

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001463GAMDClinical Psychologist
1463GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Psychological Associates, LLC Clinical Past Accepting new patients
Sweetwater Psychological Associates, LLC Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902973928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 KINGSBRIDGE CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276922",
            "telephone_number": "770-919-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WESTFORK DRIVE",
            "address_2": "SUITE B",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "30122",
            "telephone_number": "770-739-2278",
            "fax_number": "770-739-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.