Active NPI
Kristina Selma LLC
- Adult Mental Health Clinic/Center
- South Portland, ME
National Provider Identifier
1720973621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- KRISTINA SELMA LLC
- Practice address
- 218 Pine St
South Portland, ME 04106-2944 - Phone
- (914) 462-0457
- NPI assigned
- Jun 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Selma Tubin, LCPCC
- Title
- Owner
- Phone
- (914) 462-0457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
218 Pine St
South Portland, ME 04106-2944
Mailing address
218 Pine St
South Portland, ME 04106-2944
Phone (914) 462-0457
Other practice location 1
6 Cumberland St
Brunswick, ME 04011-2161
Phone (914) 462-0457
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Brunswick, ME
- NPI 1306731559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1720973621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 PINE ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062944",
"telephone_number": "914-462-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 PINE ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062944",
"telephone_number": "914-462-0457"
}
],
"practiceLocations": [
{
"address_1": "6 Cumberland St",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040112161",
"country_code": "US",
"telephone_number": "914-462-0457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KRISTINA SELMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "TUBIN",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "SELMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-462-0457",
"authorized_official_credential": "LCPCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.