Organization Active NPI

Selahcare

  • Adult Mental Health Clinic/Center
  • Brandon, FL
National Provider Identifier
1790325918
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SELAHCARE
Practice address
1416 N Taylor Rd
Brandon, FL 33510-2425
Phone
(407) 967-8236
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Joshua Adedoyin
Title
MGR
Phone
(407) 967-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1416 N Taylor Rd
Brandon, FL 33510-2425

Mailing address

1416 N Taylor Rd
Brandon, FL 33510-2425
Phone (407) 967-8236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1790325918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 N TAYLOR RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102425",
            "telephone_number": "407-967-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 N TAYLOR RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102425",
            "telephone_number": "407-967-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-967-8236"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.