Selene Gurbuz Boyd, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95029 Issued in NU

Practice address

2390 E Orangewood Ave Ste 300
Anaheim, CA 92806-6138

Phone

(714) 453-7480

NPI assigned

Jul 10, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1053939520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 LIME AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022635",
            "telephone_number": "562-343-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 E ORANGEWOOD AVE STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066138",
            "telephone_number": "714-453-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SELENE",
        "middle_name": "GURBUZ",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "95029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sboyd@theprioritycenter.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2390 E Orangewood Ave Ste 300",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928066138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirk Bowman, BA
• David Michael Boyajian
• Katherine Lilly Boyd-Cordova, PA-C
• Gregory Boyd
• Odette Boyd, PA
• Jasmine Bree Boyer
• Jamie Justine Boylan, MA, LMFT
• Kristine Lynette Boyle-Walker, P.T.
• Raquel Bozek
• BPP Medical Services Inc

• Clinical Social Worker in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.