Active NPI
Selmi Kallmi, PHD
- Psychologist
- Dallas, TX
National Provider Identifier
1073332128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 122110
- Practice address
- 2929 Oak Lawn Ave Apt 242
Dallas, TX 75219-5625 - Phone
- (314) 601-4686
- NPI assigned
- Oct 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 122110 | IA | |
| Psychologist | 103T00000X | 122110 | IA | Primary |
Addresses
Primary practice location
2929 Oak Lawn Ave Apt 242
Dallas, TX 75219-5625
Mailing address
2929 Oak Lawn Ave Apt 242
Dallas, TX 75219-5625
Phone (314) 601-4686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122110 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1073332128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 OAK LAWN AVE APT 242",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195625",
"telephone_number": "314-601-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 OAK LAWN AVE APT 242",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195625",
"telephone_number": "314-601-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLMI",
"first_name": "SELMI",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "122110",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "122110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.