Individual provider Active NPI

Monique Selden-Riley, PMHNP-BC, LMHC/LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1669721734
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2390705 Issued in MA
Practice address
605 Lincoln St
Worcester, MA 01605-1901
Phone
(617) 447-8275
Fax
(877) 991-1894
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2390705 MA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

605 Lincoln St
Worcester, MA 01605-1901

Mailing address

28 Giddings St Apt 3
Hartford, CT 06106-3905
Phone (617) 447-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250729000111 MA Practitioner - Nurse Practitioner 5799292439 Reassigns benefits to 2 organizations
I20250729000186 MA Practitioner - Mental Health Counselor 5799292439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1690 Boston Rd
Springfield, MA 01129-1153
Phone (877) 566-3993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Royal Regime LLC Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients

Locations

41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750

1690 Boston Rd
Springfield, MA 01129
Phone (413) 239-5019

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104

Organizations & group practices 4

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1669721734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GIDDINGS ST APT 3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063905",
            "telephone_number": "617-447-8275",
            "fax_number": "877-991-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051901",
            "telephone_number": "617-447-8275",
            "fax_number": "877-991-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDEN-RILEY",
        "first_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, LMHC/LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2390705",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.