Organization Active NPI

Selah Christian Center Inc

  • Psychologist
  • Warsaw, IN
National Provider Identifier
1487735502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040491 Issued in IN
Legal business name
SELAH CHRISTIAN CENTER INC
Practice address
201 N Roosevelt St
Warsaw, IN 46580-3849
Phone
(574) 269-3008
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Talitha Day Fair, PH.D.
Title
Psychologist Director
Phone
(574) 269-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 20040491 IN Primary

Addresses

Primary practice location

201 N Roosevelt St
Warsaw, IN 46580-3849

Mailing address

201 N Roosevelt St
Warsaw, IN 46580-3849
Phone (574) 269-3008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487735502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ROOSEVELT ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803849",
            "telephone_number": "574-269-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ROOSEVELT ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803849",
            "telephone_number": "574-269-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH CHRISTIAN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "TALITHA",
        "authorized_official_middle_name": "DAY",
        "authorized_official_title_or_position": "PSYCHOLOGIST DIRECTOR",
        "authorized_official_telephone_number": "574-269-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.