Lourdes M Selem, MEDICAL DOCTOR

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME128654 Issued in FL

Practice address

5803 NW 151 Street
Ste 101
Miami Lakes, FL 33014-2473

Phone

(305) 696-8802

Fax

(305) 696-8156

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lourdes Selem MD PA

  • Psychiatry Physician
  • Miami Lakes, FL
  • NPI 1346653581

  FL, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1982809380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 NW 151 STREET",
            "address_2": "STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 NW 151 STREET",
            "address_2": "STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142473",
            "telephone_number": "305-696-8802",
            "fax_number": "305-696-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEM",
        "first_name": "LOURDES",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-09-05",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME128654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Physical Therapy Holdings Inc
• Select Specialty Hospital - Miami Lakes Inc.
• Select Specialty Hospital - Miami Lakes Inc.
• Selection Rehab Inc
• Lissette Selem, PHYSICIAN/MD
• Daimary Lisette Selles
• Selta Express Services Corp
• Caroll Virginia Sengelmann, PA
• Senior in-Home Care Plus LLC
• Senior Rehab Systems Inc

• All providers in Miami Lakes, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.