Laura Serene Selke, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

16242 Issued in NY

Practice address

3399 Winton Rd S
Rochester, NY 14623-3057

Phone

(585) 334-6000

Fax

(585) 334-2858

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Finger Lakes United Cerebral Palsy, Inc.

  • Clinic/Center
  • Canandaigua, NY
  • NPI 1194835462
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205803434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 FRENCH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183823",
            "telephone_number": "585-899-0686",
            "fax_number": "585-334-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233057",
            "telephone_number": "585-334-6000",
            "fax_number": "585-334-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELKE",
        "first_name": "LAURA",
        "middle_name": "SERENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "16242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Selbig, RPH
• Self
• Julie Kathleen Self
• Neil S Seligman, MD
• Brittney Charleen Selim, PMHNP
• David Lee Sell, DO
• Craig R Sellers, NP
• Shanna Sellers, LCSW
• Yassir Selouani, MD
• Ashley Selover Peer

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.