Active NPI
Jill a. Selbach, PH.D., P.a.
- Psychologist
- Lighthouse Point, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6375
- Legal business name
- JILL A. SELBACH, PH.D., P.A.
- Practice address
- 3650 N Federal Hwy
215
Lighthouse Point, FL 33064-6649 - Phone
- (954) 618-8412
- Fax
- (954) 782-8389
- NPI assigned
- Dec 6, 2011
- Last updated
- Dec 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jill Ann Selbach, PH.D.
- Title
- Clinical Psychologist
- Phone
- (954) 618-8412
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6375 | FL | Primary |
Addresses
Primary practice location
3650 N Federal Hwy
215
Lighthouse Point, FL 33064-6649
Mailing address
3650 N Federal Hwy
215
Lighthouse Point, FL 33064-6649
Phone (954) 618-8412
National Provider Directory
National Provider DirectoryLocations
2211 NE 36th St
Ste 202
Lighthouse Point, FL 33064
Phone (954) 614-3414
2211 NE 36th St
Ste 205
Lighthouse Point, FL 33064
Phone (954) 618-8412
3650 N Federal Hwy
Ste 215
Lighthouse Point, FL 33064
Phone (954) 618-8412
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Psychologist
- Lighthouse Point, FL
- NPI 1922132331
-
- Mental Health Counselor
- Lighthouse Point, FL
- NPI 1033306923
-
- Clinical Psychologist
- Lighthouse Point, FL
- NPI 1053521955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1598033573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 N FEDERAL HWY",
"address_2": "215",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646649",
"telephone_number": "954-618-8412",
"fax_number": "954-782-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 N FEDERAL HWY",
"address_2": "215",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646649",
"telephone_number": "954-618-8412",
"fax_number": "954-782-8389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL A. SELBACH, PH.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "SELBACH",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "954-618-8412",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY6375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.