Individual provider Active NPI

Anissa Salerno, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Old Forge, PA
National Provider Identifier
1952923690
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022070 Issued in PA
Practice address
120 Foster St
Old Forge, PA 18518-1406
Phone
(570) 840-1289
NPI assigned
May 16, 2020
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202201816NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405155-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R250946 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022070 PA Primary

Addresses

Primary practice location

120 Foster St
Old Forge, PA 18518-1406

Mailing address

3700 Route 44
Millbrook, NY 12545-5161
Phone (301) 241-6070

Other practice location 1

917 SW Oak St Ste 417
Portland, OR 97205-2807
Phone (301) 241-6070

Other practice location 2

712 S Keyser Ave Unit 5-6
Taylor, PA 18517-9612
Phone (570) 840-1289

Other practice location 3

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone (301) 241-6070

Other practice location 4

3700 Route 44
Millbrook, NY 12545-5161
Phone (301) 241-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201204000151 PA Practitioner - Nurse Practitioner 2264843788 Reassigns benefits to 2 organizations
I20211109001048 MD Practitioner - Nurse Practitioner 2264843788 Reassigns benefits to 2 organizations
I20240405000723 NY Practitioner - Nurse Practitioner 2264843788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health CalmnessGroup PAC ID 7113366782, 3 clinicians
Balance Point Wellness LLCGroup PAC ID 9931521556, 36 clinicians

Practice addresses (Care Compare)

516 N Rolling Rd
Suite 305
Catonsville, MD 21228-4142
Phone (301) 241-6070

5820 York Rd
Suite 201
Baltimore, MD 21212-3620
Phone (443) 560-6632

712 S Keyser Ave
Unit 5 6
Scranton, PA 18518
Phone (301) 241-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F405155-01NYMDPsychiatric/Mental Health Nurse Practitioner
202201816NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
SP022070PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children Adolescent Adults NP in Psychiatry Psychiatric/Mental Health CurrentSince Jan 16, 2024 Accepting new patients
Mental Health Calmness Psychiatric/Mental Health CurrentSince Mar 10, 2024 Accepting new patients
Balance Point Wellness, LLC CurrentSince Oct 11, 2021 Accepting new patients
Salego LLC Psychiatric/Mental Health CurrentSince Jan 19, 2025 Accepting new patients
Puglisi Counseling LLC CurrentSince Nov 30, 2022 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Locations

5820 York Rd
Ste 201
Baltimore, MD 21212
Phone 4108002169 ext. 5818

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

516 N Rolling Rd
Catonsville, MD 21228
Phone (240) 397-9187

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075

3700 Route 44
Millbrook, NY 12545
Phone (301) 241-6070

120 Plaza Dr
Ste F
Vestal, NY 13850
Phone (301) 241-6070

917 SW Oak St
Ste 417
Portland, OR 97205
Phone (503) 994-1049

201 Lackawanna Ave
Ste 316
Scranton, PA 18503
Phone (570) 766-0772

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1952923690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 44",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455161",
            "telephone_number": "301-241-6070",
            "fax_number": "570-410-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FOSTER ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181406",
            "telephone_number": "570-840-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 SW Oak St Ste 417",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052807",
            "country_code": "US",
            "telephone_number": "301-241-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 S Keyser Ave Unit 5-6",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "PA",
            "postal_code": "185179612",
            "country_code": "US",
            "telephone_number": "570-840-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 N Rolling Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284142",
            "country_code": "US",
            "telephone_number": "301-241-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Route 44",
            "address_purpose": "LOCATION",
            "city": "Millbrook",
            "state": "NY",
            "postal_code": "125455161",
            "country_code": "US",
            "telephone_number": "301-241-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "ANISSA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202201816NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405155-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R250946",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, PA

Sources for this page

Verify at the official NPI Registry.