NPI Code Details Logo

NPI 1497659056

NPI 1497659056 : SALUDOS PSYCHOLOGY GROUP INC. : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1497659056
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SALUDOS PSYCHOLOGY GROUP INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/06/2026
-----------------------------------------------------
    Last Update Date     |    10/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1910 W SUNSET BLVD STE 800 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90026-3283
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    772-766-2806
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1910 W SUNSET BLVD STE 800 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90026-3283
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    DR. KIMBERLY A FITZGERALD 
-----------------------------------------------------
    Credential           |    PHD
-----------------------------------------------------
    Telephone            |    772-766-2806
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103G00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neuropsychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TA0700X
-----------------------------------------------------
    Taxonomy Name        |    Adult Development & Aging Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    103TC1900X
-----------------------------------------------------
    Taxonomy Name        |    Counseling Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    103TE1100X
-----------------------------------------------------
    Taxonomy Name        |    Exercise & Sports Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    103TF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    103TP0814X
-----------------------------------------------------
    Taxonomy Name        |    Psychoanalysis Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    102L00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychoanalyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    103TH0004X
-----------------------------------------------------
    Taxonomy Name        |    Health Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.