Active NPI
Michel Selva, PSY.D.
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1932403060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7483
- Practice address
- 1 Mifflin PL
Ste 260
Cambridge, MA 02138-4947 - Phone
- (617) 605-7429
- NPI assigned
- Jan 4, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7483 | MA | Primary |
Addresses
Primary practice location
1 Mifflin PL
Ste 260
Cambridge, MA 02138-4947
Mailing address
1 Mifflin PL
Ste 260
Cambridge, MA 02138-4947
Phone (617) 605-7429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110325000452 | MA | Practitioner - Clinical Psychologist | 2163605379 | Practice locations: Cambridge, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Mifflin PL
Suite 260
Cambridge, MA 02138-4947
Phone (617) 605-7429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7483 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1932403060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MIFFLIN PL",
"address_2": "STE 260",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384947",
"telephone_number": "617-605-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MIFFLIN PL",
"address_2": "STE 260",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384947",
"telephone_number": "617-605-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVA",
"first_name": "MICHEL",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.