Active NPI
Paulette Marie Selmi
- Clinical Psychologist
- Sterling, IL
National Provider Identifier
1407525157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007158
- Practice address
- 205 3Rd Ave
Sterling, IL 61081-3999 - Phone
- (815) 213-7669
- NPI assigned
- Sep 7, 2021
- 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 | 071.007158 | IL | Primary |
Addresses
Primary practice location
205 3Rd Ave
Sterling, IL 61081-3999
Mailing address
205 3Rd Ave
Sterling, IL 61081-3999
Phone (815) 213-7669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220219000115 | IL | Practitioner - Clinical Psychologist | 1557389616 | Practice locations: Sterling, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 3Rd Ave
Sterling, IL 61081-3999
Phone (815) 213-7669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007158 | IL | MD | Clinical Psychologist |
| 1164 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1407525157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 3RD AVE",
"city": "STERLING",
"state": "IL",
"postal_code": "610813999",
"telephone_number": "815-213-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 3RD AVE",
"city": "STERLING",
"state": "IL",
"postal_code": "610813999",
"telephone_number": "815-213-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELMI",
"first_name": "PAULETTE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.