Healthcare Provider Details

I. General information

NPI: 1407571904
Provider Name (Legal Business Name): MADISON TAYLOR SALSMAN LMFT, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADISON TAYLOR SALSMAN NICOLA

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 AVENUE OF THE ARTS APT B102
COSTA MESA CA
92626-1900
US

IV. Provider business mailing address

24325 MAIN ST STE 102
NEWHALL CA
91321-2932
US

V. Phone/Fax

Practice location:
  • Phone: 661-213-9275
  • Fax:
Mailing address:
  • Phone: 661-383-2252
  • Fax: 661-228-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number13585
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: