Individual provider Active NPI

David Rader Selkovits

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1740587039
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17470587039
Practice address
10 Emerson PL
Apt. 21B
Boston, MA 02114-2204
Phone
(617) 308-8219
NPI assigned
Feb 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17470587039 Primary

Addresses

Primary practice location

10 Emerson PL
Apt. 21B
Boston, MA 02114-2204

Mailing address

10 Emerson Place
Apt. 21B
Boston, MA 02114-2236
Phone (617) 308-8219

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

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: davidselkovits@ssmh.netsmartdirect.net

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1740587039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EMERSON PLACE",
            "address_2": "APT. 21B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142236",
            "telephone_number": "617-308-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EMERSON PL",
            "address_2": "APT. 21B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142204",
            "telephone_number": "617-308-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELKOVITS",
        "first_name": "DAVID",
        "middle_name": "RADER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-22",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "17470587039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.