Selena Ellis, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SELENA ELLIS, M.D.

Practice address

3000 Colby St
Suite 101
Berkeley, CA 94705-2083

Phone

(510) 644-2282

Fax

(510) 644-1744

NPI assigned

Dec 4, 2015

Last updated

Dec 4, 2015By 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

Dr. Selena W Ellis, M.D.NPI 1265412993

Title

Doctor

Phone

(510) 644-2282

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEGCBA

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.

• Selena W Ellis, MD

  • Neurology Physician
  • Berkeley, CA
  • NPI 1265412993
  NPD Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1629443486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 101",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-644-2282",
            "fax_number": "510-644-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 101",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-644-2282",
            "fax_number": "510-644-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELENA ELLIS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "510-644-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Seider, PHD
• Sandra Seidlitz
• Spencer Seidman, LCSW
• Melissa B Seka, PSY.D.
• Select Cal Physical Therapy PC (Select Physical Therapy)
• Self Harmony Individual and Family Therapy
• William Osterweis Selig, PSY.D.
• Joyce Hope Selkow, R.D.
• Dymetria Sellers
• Janet Elise Sells, LMFT

• Neurology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.