Provider Demographics
NPI:1831084649
Name:DR. SALUSKY CLINICAL PSYCHOLOGY AND CONSULTING PLLC
Entity type:Organization
Organization Name:DR. SALUSKY CLINICAL PSYCHOLOGY AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SALUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-837-2545
Mailing Address - Street 1:1008 DEWEY AVE # 1
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1149
Mailing Address - Country:US
Mailing Address - Phone:562-712-3303
Mailing Address - Fax:
Practice Address - Street 1:2501 CHATHAM RD STE N
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4188
Practice Address - Country:US
Practice Address - Phone:401-837-2545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty