Lissette Selem MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LISSETTE SELEM MD PA

Practice address

922 N Krome Ave
Homestead, FL 33030-4409

Phone

(786) 504-8070

Fax

(786) 504-8073

NPI assigned

Jun 5, 2014

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lissette Salem, MD

Title

Physician/President

Phone

(305) 251-3391

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

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.

• Lissette Selem, PHYSICIAN/MD

  • Psychiatry Physician
  • Miami Lakes, FL
  • NPI 1093910499
  Medicare reassignment NPD

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1548673700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304409",
            "telephone_number": "786-504-8070",
            "fax_number": "786-504-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304409",
            "telephone_number": "786-504-8070",
            "fax_number": "786-504-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSETTE SELEM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "305-251-3391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ACN321",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lira
• Fathiya Ayuma Liriano, INTERPRETER MEDICAL
• Nelsy Liriano
• Lisette Vazquez DO PA
• Katherine Lissabet
• Carlos Alberto Lista Ensenat, M.D.
• Lilibett Liste
• Marianne Lithgow
• Little Helping Hands Therapy LLC
• Little Stars ABA Therapy Corp

• Psychiatry Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.