Selby Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1017 Issued in ME

Legal business name

SELBY PSYCHOLOGICAL SERVICES, PLLC

Practice address

6 State St
Suite 208
Bangor, ME 04401-5112

Phone

(207) 262-9009

Fax

(207) 262-9008

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Ward Selby, PH.D.NPI 1194768887

Title

Licensed Psychologist

Phone

(207) 262-9009

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian W Selby, PHD

  • Psychologist
  • Bangor, ME
  • NPI 1194768887
  NPD (past) Authorized official
• Christine L. B. Selby, PH.D.

  • Clinical Psychologist
  • Bangor, ME
  • NPI 1942498183
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1992999627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STATE ST",
            "address_2": "SUITE 208",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015112",
            "telephone_number": "207-262-9009",
            "fax_number": "207-262-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATE ST",
            "address_2": "SUITE 208",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015112",
            "telephone_number": "207-262-9009",
            "fax_number": "207-262-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELBY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-262-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Adonis Seegobin, M.D.
• Scott A Seekins, COTA/L
• Richard M. Seger, M.D.
• Bethney Anne Seifert, APRN
• Manasi Sejpal, M.B.B.S
• Brian W Selby, PHD
• Christine L. B. Selby, PH.D.
• Select Physical Therapy Holdings Inc
• Cynthia Amanda Self, MD
• Nevalee Seltzer, DO

• Clinical Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.