Individual provider Active NPI

Lisa F. Salzberg, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1952406647
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1552 Issued in GA
Practice address
7527 Roswell Road
#566232
Atlanta, GA 30350-9997
Phone
(404) 237-3987
Fax
(404) 237-3707
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 1552 GA Primary

Addresses

Primary practice location

7527 Roswell Road
#566232
Atlanta, GA 30350-9997

Mailing address

PO Box 566232
Atlanta, GA 31156-6232
Phone (404) 237-3987

Other identifiers 1

IdentifierTypeStateIssuer
00493677AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20070425000109 GA Practitioner - Clinical Psychologist 5395840029 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Glenlake Pkwy
Suite 130
Atlanta, GA 30328-3495
Phone (404) 237-3987

7527 Roswell Rd
Suite 566232
atlanta, GA 30350-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1552GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1952406647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311566232",
            "telephone_number": "404-237-3987",
            "fax_number": "404-237-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 ROSWELL ROAD",
            "address_2": "#566232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303509997",
            "telephone_number": "404-237-3987",
            "fax_number": "404-237-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBERG",
        "first_name": "LISA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493677A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.