MICHAEL PAUL SALVATORE IV PSYD
NPI 1205175395
Counselor in Salt Lake City, UT

Q: What is Michael Salvatore's NPI number?

The NPI number for Michael Salvatore is 1205175395. It was assigned to this individual provider in the NPPES registry on February 8, 2013. The provider is also known as Mike Salvatore Psyd.

Q: What is Michael Salvatore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Salvatore was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2013PECOS Enrolled

5965 S 900 E, SALT LAKE CITY, UT 84121(801) 263-7100 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Paul Salvatore Iv Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PAUL SALVATORE IV PSYD (NPI 1205175395) is an individual counselor in Salt Lake City, Utah and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205175395

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMICHAEL PAUL SALVATORE IVCredential: PSYD

Location Address5965 S 900 ESalt Lake City, UT 84121-1720

Mailing Address11844 S Aztec RdDraper, UT 84020-6803 · (973) 934-2852

Phone(801) 263-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 8, 2013

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1205175395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5965 S 900 E, Salt Lake City, UT 84121

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Other Names 1

Other Name (5)Mike Salvatore Psyd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Paul Salvatore Iv Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921577586

PECOS Enrollment IDI20260513002893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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