Organization Active NPI

Selene Center

  • Adult Mental Health Clinic/Center
  • Encinitas, CA
National Provider Identifier
1619301082
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SELENE CENTER
Practice address
374 N Coast Highway 101 Ste F12
Encinitas, CA 92024-2542
Phone
(760) 525-0117
Fax
(760) 436-1608
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Heather Pierson
Title
Executive Director
Phone
(760) 525-0117

Specialties & licenses 1

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

Addresses

Primary practice location

374 N Coast Highway 101 Ste F12
Encinitas, CA 92024-2542

Mailing address

374 N Coast Highway 101 Ste F12
Encinitas, CA 92024-2542
Phone (760) 525-0117

National Provider Directory

National Provider Directory

Locations

374 N Coast Highway 101
Ste F12
Encinitas, CA 92024
Phone (760) 525-0117

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1619301082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101 STE F12",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "760-525-0117",
            "fax_number": "760-436-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101 STE F12",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "760-525-0117",
            "fax_number": "760-436-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELENE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-525-0117"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.