Individual provider Active NPI

Danielle Selvin Harris, PSYD

  • Psychologist
  • Westlake Village, CA
National Provider Identifier
1992075386
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
29884 Issued in CA
Practice address
3625 E Thousand Oaks Blvd Ste 209
Westlake Village, CA 91362-3566
Phone
(310) 461-4150
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Psychologist 103T00000X 29884 CA Primary
Marriage & Family Therapist 106H00000X 77169 CA

Addresses

Primary practice location

3625 E Thousand Oaks Blvd Ste 209
Westlake Village, CA 91362-3566

Mailing address

3625 E Thousand Oaks Blvd Ste 106
Westlake Village, CA 91362-3551
Phone (310) 461-4150

Other names 1

  • Danielle Lori Selvin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
77169CAMDMarriage & Family Therapist
29884CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Psychological Services Inc CurrentSince May 16, 2022 Accepting new patients
Pathways to Peace Psychotherapy Center Incorporated Psychologist PastSince Mar 1, 2020 Accepting new patients
Integrated Minds Psychological Services, Inc PastSince May 10, 2019 Accepting new patients

Locations

3625 E Thousand Oaks Blvd
Ste 106
Westlake Village, CA 91362
Phone (310) 461-4150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1992075386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 106",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623551",
            "telephone_number": "310-461-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623566",
            "telephone_number": "310-461-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIELLE",
        "middle_name": "SELVIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "29884",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SELVIN",
            "middle_name": "LORI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.