Yazmin Selles, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3058 Issued in PR

Practice address

Urb. Golden Hill, Bo. Las Cuevas
Suite #3
Trujillo Alto, PR 00977

Phone

(787) 579-6075

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By 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

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Great Minds of Puerto Rico Researchers & Clinical Psychologist PSC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Trujillo Alto, PR
  • NPI 1962678441
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1144498973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780660",
            "telephone_number": "787-579-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. GOLDEN HILL, BO. LAS CUEVAS",
            "address_2": "SUITE #3",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00977",
            "telephone_number": "787-579-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLES",
        "first_name": "YAZMIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuziwe Sanchez, P.T.
• Shaina Marie Santiago Vargas, PHARM.D.
• Amarilis Santiago, SLP
• Benjamin Santiago, M.D.
• Ivonne M Santos Dejesus
• Ramon Sena, MD
• Nicole Sifonte, M.D.
• Claudia Silva
• Annette Soler, D.D.S
• Gabriela Maria Sosa Piernes

• Clinical Psychologist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.