Emily Marie Selby-Nelson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1080 Issued in WV

Practice address

6135 Sissonville Dr
Charleston, WV 25312-9444

Phone

(304) 388-9948

NPI assigned

Jun 23, 2010

Last updated

May 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WV

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.

• Cabin Creek Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dawes, WV
  • NPI 1366495525
  Medicare reassignment NPD
• Cabin Creek Health Center Inc

  dba Sissonville Health Center

  • Federally Qualified Health Center (FQHC)
  • Sissonville, WV
  • NPI 1801836341
  NPD
• Cabin Creek Health Center, Inc.

  dba Westside Health Center

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1194596759
  NPD

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1184935330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 SISSONVILLE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253129444",
            "telephone_number": "304-984-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 SISSONVILLE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253129444",
            "telephone_number": "304-388-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY-NELSON",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "11721681-2500",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Seidler, MD
• Sharon Seidler
• Samantha Seitz, FNP-BC
• Samantha Sekscinski
• Mary Jo Selbe, LPC
• Select Specialty Hospital - Charleston Inc
• Ashley Self
• Andrea S Sellards
• Julia M Sellers, PA-C
• Kelli Sellers

• Clinical Psychologist in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.