Organization Active NPI

Selph Solutions

  • Psychologist
  • Mill Valley, CA
National Provider Identifier
1225612229
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SELPH SOLUTIONS
Practice address
25 Keats Dr
Mill Valley, CA 94941-2216
Phone
(415) 935-4605
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Dr. Richard Brackett Selph, PSYD
Title
Owner
Phone
(415) 935-4605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

25 Keats Dr
Mill Valley, CA 94941-2216

Mailing address

25 Keats Dr
Mill Valley, CA 94941-2216
Phone (415) 935-4605

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://brac-selph.clientsecure.me/ Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1225612229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KEATS DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412216",
            "telephone_number": "415-935-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KEATS DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412216",
            "telephone_number": "415-935-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELPH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SELPH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BRACKETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-935-4605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://brac-selph.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "WEbsite",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "User input",
            "address_1": "25 Keats Dr",
            "city": "Mill Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949412216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.