Active NPI
Lynn Martin Selby, PH.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1275743452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1094
- Practice address
- 222 Milwaukee St
Suite 306
Denver, CO 80206-5008 - Phone
- (303) 388-3122
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1094 | CO | Primary |
Addresses
Primary practice location
222 Milwaukee St
Suite 306
Denver, CO 80206-5008
Mailing address
222 Milwaukee St
Suite 306
Denver, CO 80206-5008
Phone (303) 388-3122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 15, 2016 through Dec 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275743452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MILWAUKEE ST",
"address_2": "SUITE 306",
"city": "DENVER",
"state": "CO",
"postal_code": "802065008",
"telephone_number": "303-388-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MILWAUKEE ST",
"address_2": "SUITE 306",
"city": "DENVER",
"state": "CO",
"postal_code": "802065008",
"telephone_number": "303-388-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "LYNN",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
- Selah Counseling Center LLC
- Collin Selahowski
- Selam Medical Transportation
- Carol Lou Selander, M.S.
- Elizabeth Selander, NP
- Sasha Leeann Monsma Selby, MBBS
- Select Physical Therapy of West Denver Limited Partnership (Select Physical Therapy)
- Select Physical Therapy of West Denver Limited Partnership (Select Physical Therapy)
- Select Specialty Hospital
- Select Specialty Hospital - Denver Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.