Lissette Selem, PHYSICIAN/MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME128650 Issued in FL

Practice address

5803 NW 151 St
Suite 101
Miami Lakes, FL 33014-2473

Phone

(305) 696-8802

Fax

(305) 696-8156

NPI assigned

Jun 18, 2007

Last updated

Nov 4, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlos F Vallejo MD PA

  • Internal Medicine Physician
  • Miami Lakes, FL
  • NPI 1740595339
  Medicare reassignment NPD
• Lissette Selem MD PA

  • Psychiatry Physician
  • Homestead, FL
  • NPI 1548673700
  Medicare reassignment NPD

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1093910499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 NW 151 ST",
            "address_2": "SUITE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 NW 151 ST",
            "address_2": "SUITE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEM",
        "first_name": "LISSETTE",
        "name_prefix": "Dr.",
        "credential": "PHYSICIAN/MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "14764",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME128650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Ernesto Segura Reina
• Select Physical Therapy Holdings Inc
• Select Specialty Hospital - Miami Lakes Inc. (Select Medical Rehabilitation - Miami Lakes)
• Select Specialty Hospital - Miami Lakes Inc.
• Selection Rehab Inc
• Lourdes M Selem, MEDICAL DOCTOR
• Daimary Lisette Selles
• Selta Express Services Corp
• Caroll Virginia Sengelmann, PA
• Senior in-Home Care Plus LLC (Senior Helpers Miami-Dade)

• Psychiatry Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.