Active NPI
Selin Santos, PSY.D
- Psychologist
- Palm Beach Gardens, FL
National Provider Identifier
1285163543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY10595
- Practice address
- 3300 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2810 - Phone
- (561) 983-6645
- NPI assigned
- Jun 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PY10595 | FL | |
| Clinical Psychologist | 103TC0700X | PY10595 | FL | |
| Health Service Psychologist | 103TH0100X | PY10595 | FL | |
| Psychologist | 103T00000X | PY10595 | FL | Primary |
Addresses
Primary practice location
3300 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2810
Mailing address
2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Phone (954) 659-5840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10595 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1285163543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313625",
"telephone_number": "954-659-5840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PGA BLVD STE 310",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102810",
"telephone_number": "561-983-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "SELIN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-08",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "FL",
"license": "PY10595",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10595",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "FL",
"license": "PY10595",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY10595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.