Jonathan Andrew Selden, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5202228-4405 Issued in UT

Practice address

3885 W Campus Dr Dept 1114
Ogden, UT 84408-1114

Phone

(801) 626-6406

Fax

(801) 626-6541

NPI assigned

Apr 3, 2009

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1417199506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 W CAMPUS DR DEPT 1114",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844081114",
            "telephone_number": "801-626-6406",
            "fax_number": "801-626-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 W CAMPUS DR DEPT 1114",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844081114",
            "telephone_number": "801-626-6406",
            "fax_number": "801-626-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDEN",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "5202228-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha B Sears, NP
• Tiffany Seber
• Tyler Keith Sedgwick, DPT
• Payton Seibt
• David Sekulich
• Delia Self
• Cassie Selim, SSW
• John Heath Selin, C.S.W.
• Lindsay Selk, LCSW
• Blake Andrew Sellers, MD

• Psychiatric/Mental Health Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.