Christopher T Selvage, MD, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A30587 Issued in CA

Legal business name

CHRISTOPHER T SELVAGE, MD, INC.

Practice address

16946 Burbank Blvd
106
Encino, CA 91316-1869

Phone

(818) 990-0179

Fax

(818) 990-0814

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Christopher T Selvage, MD

Title

Owner

Phone

(818) 761-7498

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1700901048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16946 BURBANK BLVD",
            "address_2": "106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161870",
            "telephone_number": "818-990-0179",
            "fax_number": "818-990-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16946 BURBANK BLVD",
            "address_2": "106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161869",
            "telephone_number": "818-990-0179",
            "fax_number": "818-990-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER T SELVAGE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SELVAGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-761-7498",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A30587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollord Choi
• Hyun Choi
• Debra Yerman Cholodenko, D.C.
• Bonnie Jo Christner, PSY.D.
• Christopher Hage MD
• Randy Christopher, LMFT
• Dayna Chtistou
• Lynnette Joy Chu, D.D.S.
• Patrick Chua, MD
• Nanotchka M. Chumley, D.O., M.P.H.

• Psychiatry Physician in Encino, CA
• Providers in Encino, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.