Active NPI
Michael S Seller, MD
- Child & Adolescent Psychiatry Physician
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 29479
- Practice address
- 8405 Church Ranch Blvd
Westminster, CO 80021-3918 - Phone
- (303) 338-4545
- NPI assigned
- Mar 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29479 | CO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 29479 | CO | Primary |
Addresses
Primary practice location
8405 Church Ranch Blvd
Westminster, CO 80021-3918
Mailing address
6405 Church Ranch Boulevard
Westminster, CO 80021-2605
Phone (303) 438-2217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007406 | Other | KAISER-COMMERCIAL NUMBER | |
| 01294792 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29479 | CO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Reach Center, Inc | Current | Accepting new patients | |
| Community Reach Center, Inc | Current | Accepting new patients |
Locations
1850 E Egbert St
Fl 2
Brighton, CO 80601
4371 E 72nd Ave
Commerce City, CO 80022
Phone (303) 286-4973
690 W 84th Ave
Thornton, CO 80260
8989 Huron St
Thornton, CO 80260
Phone (303) 853-3511
8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433
8889 Fox Dr
Thornton, CO 80260
Phone (303) 430-0823
1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800
Interoperability endpoints
- michael.seller.p2@direct.communityreachcenter.nextgenshare.com
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Thornton, CO
- NPI 1316906886
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Broomfield, CO
- NPI 1841887056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1285750810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 CHURCH RANCH BOULEVARD",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800212605",
"telephone_number": "303-438-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 CHURCH RANCH BLVD",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800213918",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLER",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "29479",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "29479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "007406",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01294792",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
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- Bianca Marie Seivley, PA-C
- Malgorzata Selbo, L.M.T.
- Select Physical Therapy of West Denver Limited Partnership
- William Grady Self Jr., MD
- Ethan Selvig, MSW, LCSW
- Senior Care of Kansas LLC
- Patrick James Septon, P.T.
- Cassie L Serpan, MS, RDN
- Seung H Lee Dental Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.