Selfcare Mental Health Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SELFCARE MENTAL HEALTH SERVICES LLC

Practice address

501 Dale Street N #205 Saint Paul MN 55104
Saint Paul, MN 55104

Phone

(612) 806-2219

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Leila Mohamed Farah Mohamed Farah

Title

Owner

Phone

(612) 806-2219

Specialties & licenses 1

Addresses

Other names 1

• SELFCARE MENTAL HEALTH SERVICES LLC Doing business as

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1295457604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DALE STREET N #205 SAINT PAUL MN 55104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "612-806-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DALE STREET N #205 SAINT PAUL MN 55104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "612-806-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFCARE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "LEILA MOHAMED FARAH",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-806-2219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELFCARE MENTAL HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John Elliott Selickman, M.D.
• Sally Lois Selisker, LICSW
• Natasha Seliski
• Nicole Kathleen Sellin, LICSW
• Jonathan Scott Sellman, MD

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.