Organization Active NPI

Sillect 360, LLC

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1417483991
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
A63639 Issued in CA
Legal business name
SILLECT 360, LLC
Practice address
3534 San Dimas St
Bakersfield, CA 93301
Phone
(661) 327-2101
Fax
(661) 347-4476
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Vipul Dev, M.D.NPI 1891702122
Title
Ceo
Phone
(661) 327-2101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X A63639 CA Primary

Addresses

Primary practice location

3534 San Dimas St
Bakersfield, CA 93301

Mailing address

2901 Sillect Ave Ste 201
Bakersfield, CA 93308-6373
Phone (661) 327-2101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1417483991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086373",
            "telephone_number": "661-327-2101",
            "fax_number": "661-327-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-327-2101",
            "fax_number": "661-347-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILLECT 360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "DEV",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-327-2101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A63639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.