Individual provider Active NPI

Claudio A Selame, PHD

  • Psychologist
  • Newbury Park, CA
National Provider Identifier
1508880139
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY12438 Issued in CA
Practice address
2800 Camino Dos Rios
Suite 101a
Newbury Park, CA 91320-1138
Phone
(805) 630-5566
Fax
(805) 926-8314
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY12438 CA Primary

Addresses

Primary practice location

2800 Camino Dos Rios
Suite 101a
Newbury Park, CA 91320-1138

Mailing address

3 Edgar CT
Newbury Park, CA 91320-4330
Phone (805) 630-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1508880139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EDGAR CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204330",
            "telephone_number": "805-630-5566",
            "fax_number": "805-926-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAMINO DOS RIOS",
            "address_2": "SUITE 101A",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201138",
            "telephone_number": "805-630-5566",
            "fax_number": "805-926-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELAME",
        "first_name": "CLAUDIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.