Simon Selwyn LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SIMON SELWYN LLC

Practice address

38 Lexington St Ste E
Belmont, MA 02478-5009

Phone

(617) 596-1975

Fax

(617) 977-2526

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Simon Maurice Selwyn, CNP, PMHNPNPI 1821576935

Title

Psychiatric Nurse Practitioner

Phone

(617) 596-1975

Specialties & licenses 1

Addresses

Other names 1

• Belmont Psychiatric Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Maurice Sebastian Selwyn, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waltham, MA
  • NPI 1821576935

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1619625753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HILL RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784302",
            "telephone_number": "617-596-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LEXINGTON ST STE E",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024785009",
            "telephone_number": "617-596-1975",
            "fax_number": "617-977-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON SELWYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "SELWYN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-596-1975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gordon Charles Siek, PHD
• Peter J Siekmeier, M.D.
• Lucyara Antonucci Silva, PHARMD, RPH
• Alexandra Lee Silverman
• Mary Lou Silverman, LICSW
• Maxwell TL Sims
• Shifali Singh, PHD
• Melissa Sinnott, LICSW
• Karen K Slifka, RNCS
• Lovella F Slusser, RNCS

• Psychiatric/Mental Health Nurse Practitioner in Belmont, MA
• Providers in Belmont, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.