Salvador Cevallos, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME 101696 Issued in FL

Practice address

2089 S Ridgewood Ave Ste B
South Daytona, FL 32119-2240

Phone

(386) 957-3905

Fax

(386) 492-1131

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Santrock Psychiatry, LLCGroup PAC ID 3971827924, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Santrock Psychiatry, LLC

  dba Stillpoint Psychiatry

  • Psychiatry Physician
  • South Daytona, FL
  • NPI 1811315104
  Medicare reassignment Care Compare group Authorized official
• Neuropsychiatry Centers LLC

  • Clinical Neuropsychologist
  • Lady Lake, FL
  • NPI 1215483516
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1992926661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 S RIDGEWOOD AVE STE B",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192240",
            "telephone_number": "386-957-3905",
            "fax_number": "386-492-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 S RIDGEWOOD AVE STE B",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192240",
            "telephone_number": "386-957-3905",
            "fax_number": "386-492-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVALLOS",
        "first_name": "SALVADOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-11-07",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 101696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadence Companionship Support and Services
• Carkat Properties LLC (Katrina' Cottage ALF)
• Joshua David Carreiro, D.C.
• Dominique Casillas
• Juan Carlos Castaneda, DO
• Molly Patricia Chamness
• Rebecca Louise Chase-Pena, DC
• Ravin Michelle Chase
• Children's Home Society of Florida
• Children's Home Society of Florida

• Psychiatry Physician in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.

Verify at the official NPI Registry.