Individual provider Active NPI

Patricia L Sellers

  • Marriage & Family Therapist
  • Claremont, CA
National Provider Identifier
1629560602
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110530 Issued in CA
Practice address
112 Harvard Ave # 386
Claremont, CA 91711-4716
Phone
(626) 201-8266
Fax
(909) 971-3880
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 110530 CA Primary

Addresses

Primary practice location

112 Harvard Ave # 386
Claremont, CA 91711-4716

Mailing address

16843 Valley Blouvard, Suite E, # 526
Fontana, CA 92335-6146
Phone (626) 201-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Under This Umbrella Community Foundation Single Specialty CurrentSince Oct 12, 2025 Accepting new patients
Social Model Recovery Systems, Inc. Past Accepting new patients
Social Model Recovery Systems, Inc. Past Accepting new patients

Locations

112 Harvard Ave
Claremont, CA 91711
Phone (909) 455-5831

16843 Valley Blvd
Ste E
Fontana, CA 92335
Phone (626) 201-8266

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1629560602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16843 VALLEY BLOUVARD, SUITE E, # 526",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356146",
            "telephone_number": "626-201-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARVARD AVE # 386",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114716",
            "telephone_number": "626-201-8266",
            "fax_number": "909-971-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.