Active NPI
Jeffrey Selby, MFT
- Marriage & Family Therapist
- Ventura, CA
National Provider Identifier
1801814439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34105
- Practice address
- 4360 E Main St
#248
Ventura, CA 93003-8279 - Phone
- (805) 856-3321
- Fax
- (805) 644-6212
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC34105 | CA | Primary |
Addresses
Primary practice location
4360 E Main St
#248
Ventura, CA 93003-8279
Mailing address
4360 E. Main Street
#248
Ventura, CA 93003
Phone (805) 856-3321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC34105 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801814439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 E. MAIN STREET",
"address_2": "#248",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-856-3321",
"fax_number": "805-644-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 E MAIN ST",
"address_2": "#248",
"city": "VENTURA",
"state": "CA",
"postal_code": "930038279",
"telephone_number": "805-856-3321",
"fax_number": "805-644-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
- Jaime Segura
- Stacey Ann Seidman, OTR
- Katherine Lee Seifert, RPH
- Ronald Henry Seitz, P.T.
- Sean Paul Seitz, CSAAS
- Brandon R Selvey, DPT
- Catherine Arellano Sendaydiego, MD
- Seneca Family of Agencies (Seneca Kaiser Ventura Wraparound)
- Seneca Family of Agencies (Ventura Seneca Services)
- Gregory P Senning, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.