Active NPI
Jody Saltzman, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1932113370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14374
- Practice address
- 12395 El Camino Real
Suite 305
San Diego, CA 92130-3085 - Phone
- (858) 775-6364
- Fax
- (858) 523-1037
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14374 | CA | Primary |
Addresses
Primary practice location
12395 El Camino Real
Suite 305
San Diego, CA 92130-3085
Mailing address
12395 El Camino Real
Suite 305
San Diego, CA 92130-3085
Phone (858) 775-6364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY143740 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100114000752 | CA | Practitioner - Clinical Psychologist | 1850494683 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3511 Camino del Rio S
Suite 500
San Diego, CA 92108-4022
Phone (858) 775-6364
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. David Hahn Psychologist PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- El Cajon, CA
- NPI 1104161439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1932113370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "SUITE 305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303085",
"telephone_number": "858-775-6364",
"fax_number": "858-523-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "SUITE 305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303085",
"telephone_number": "858-775-6364",
"fax_number": "858-523-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALTZMAN",
"first_name": "JODY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY143740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.