Active NPI
Patricia L Sellers
- Marriage & Family Therapist
- Claremont, CA
National Provider Identifier
1629560602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 110530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Under This Umbrella Community Foundation | Single Specialty | Current | 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.
-
- Mental Health Counselor
- Fontana, CA
- NPI 1356216881
Single Specialty
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1497834089
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1508994369
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.