Provider Demographics
NPI:1962028936
Name:SAL PSYCHIATRY SERVICES PC
Entity Type:Organization
Organization Name:SAL PSYCHIATRY SERVICES PC
Other - Org Name:SAL PSYCHIATRY SERVICES P.C
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALISU
Authorized Official - Middle Name:ADEJO
Authorized Official - Last Name:AIKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-475-2543
Mailing Address - Street 1:13132 STUDEBAKER RD STE 10
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-2576
Mailing Address - Country:US
Mailing Address - Phone:562-280-7176
Mailing Address - Fax:562-262-0735
Practice Address - Street 1:13132 STUDEBAKER RD STE 10
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2576
Practice Address - Country:US
Practice Address - Phone:989-475-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty