Active NPI
Daryl Evelyn Selman
- Marriage & Family Therapist
- Makawao, HI
National Provider Identifier
1851563365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT-106
- Practice address
- 200 Ike Dr
Makawao, HI 96768-9718 - Phone
- (808) 579-8414
- Fax
- (808) 579-8426
- NPI assigned
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-106 | HI | Primary |
| Clinical Social Worker | 1041C0700X | LCSW 3486 | HI |
Addresses
Primary practice location
200 Ike Dr
Makawao, HI 96768-9718
Mailing address
PO Box 791749
Paia, HI 96779-1749
Phone (808) 579-8414
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 |
|---|---|---|---|
| LCSW 3486 | HI | MD | Clinical Social Worker |
| MFT-106 | HI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha House, Inc. | Past | Accepting new patients | |
| Maui Youth and Family Services Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Makawao, HI
- NPI 1457642076
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Makawao, HI
- NPI 1205838539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1851563365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791749",
"city": "PAIA",
"state": "HI",
"postal_code": "967791749",
"telephone_number": "808-579-8414",
"fax_number": "808-579-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 IKE DR",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967689718",
"telephone_number": "808-579-8414",
"fax_number": "808-579-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELMAN",
"first_name": "DARYL",
"middle_name": "EVELYN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT-106",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW 3486",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.