Self Care Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SELF CARE PSYCHIATRY, LLC

Practice address

2117 Enloe Dr
Clovis, NM 88101-8657

Phone

(575) 693-5479

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kerri R Self, PMHNP

Title

Owner

Phone

(575) 693-5479

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1306624598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 ENLOE DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881018657",
            "telephone_number": "575-693-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 ENLOE DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881018657",
            "telephone_number": "575-693-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-693-5479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1144005224",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria E Schmitt
• Shirley Ann Schueler, OTR L
• Meagan Seekins
• Taylor Segovia, RPH
• Morgan K Seiler
• Xondria Jennifer Self, PHARMD
• Lacy Ann Sena, CSW
• Michael Sena
• Rhiannon Laura Sena
• Senior Citizen Resident Center

• Psychiatric/Mental Health Nurse Practitioner in Clovis, NM
• Providers in Clovis, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.