Individual provider Active NPI

Derrick Selb

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1992196505
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82923 Issued in CA
Practice address
3710 State St Ste B
Santa Barbara, CA 93105-6180
Phone
(805) 538-2559
NPI assigned
Feb 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 82923 CA Primary

Addresses

Primary practice location

3710 State St Ste B
Santa Barbara, CA 93105-6180

Mailing address

5266 Hollister Ave Ste 101
Santa Barbara, CA 93111-2066
Phone (805) 538-2559

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

LicenseStateTypeSpecialty
82923CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Derrick Selb MFT CurrentSince Apr 1, 2022 Accepting new patients
Syntropy Family Counseling Inc Current Accepting new patients

Locations

3710 State St
Ste B
Santa Barbara, CA 93105
Phone (805) 214-8248

5266 Hollister Ave
Ste 101
Santa Barbara, CA 93111
Phone (805) 681-7322

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.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1992196505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112066",
            "telephone_number": "805-538-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 STATE ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056180",
            "telephone_number": "805-538-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELB",
        "first_name": "DERRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.