Individual provider Active NPI

Selma Raheem, M.D.

  • Child & Adolescent Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1699986109
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
N1088 Issued in TX
Practice address
3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511
Phone
(832) 947-3562
Fax
(832) 947-1117
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X N1088 TX Primary

Addresses

Primary practice location

3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511

Mailing address

3129 Kingsley Dr Ste 1730
Pearland, TX 77584-8511
Phone (832) 947-3562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000332 TX Practitioner - Psychiatry 2961670922 Reassigns benefits to 1 organization
Practice locations: Galveston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Real Community MHMR Center CurrentSince Aug 17, 2011 Accepting new patients

Locations

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

Interoperability endpoints

  • Direct secure messaging: manager@direct.meditouchehr.com

Organizations & group practices 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1699986109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1730",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "832-947-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DR STE 1730",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848511",
            "telephone_number": "832-947-3562",
            "fax_number": "832-947-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEEM",
        "first_name": "SELMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.