1629868963 NPI number — TERESA SALCEDO NP IN PSYCHIATRY PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629868963 NPI number — TERESA SALCEDO NP IN PSYCHIATRY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TERESA SALCEDO NP IN PSYCHIATRY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629868963
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
465 TUCKAHOE RD STE 1114
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10710-5707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-259-5238
Provider Business Mailing Address Fax Number:
914-259-5238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
81 PONDFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONXVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10708-3818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-809-8712
Provider Business Practice Location Address Fax Number:
914-259-5238
Provider Enumeration Date:
05/09/2025

Additional Information

Authorized Official

Authorized Official Last Name:
SALCEDO
Authorized Official First Name:
TERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
NURSE PRACTITIONER
Authorized Official Telephone Number:
914-809-8712

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084P0804X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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