SELENA ELLIS, M.D. (NPI# 1629443486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629443486 |
| Entity Type | Organization |
| Organization Name | SELENA ELLIS, M.D. |
| Practice Address |
3000 Colby St Suite 101 Berkeley CA 94705-2083 |
| Practice Telephone | 5106442282 |
| Practice Fax Number | 5106441744 |
| Mailing Telephone | 5106442282 |
| Mailing Fax Number | 5106441744 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | DR. SELENA W ELLIS (DOCTOR) |
| Authorized Official Telephone | 5106442282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
3000 COLBY ST SUITE 101 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734505 | Christopher J Chen | Orthopaedic Surgery | 3000 Colby St, Suite 106, Berkeley, CA 94705-2058 | 2005-10-19 |
| 1942740832 | Angela Solleder | Nurse Practitioner | 3000 Colby St, Unit 201, Berkeley, CA 94705-2083 | 2017-02-27 |
| 1316485873 | Jenna Petersen Palan | Nurse Practitioner | 3000 Colby St, #201, Berkeley, CA 94705 | 2017-02-05 |
| 1366853871 | University Healthcare Alliance | Obstetrics & Gynecology | 3000 Colby St, Berkeley, CA 94705-2083 | 2014-05-19 |
| 1962812800 | Berkeley Endocrine Clinic, Inc. | Internal Medicine | 3000 Colby St, Suite 203b, Berkeley, CA 94705-2083 | 2014-04-30 |
| 1386900801 | Laurent Menut | Anesthesiology | 3000 Colby St, Ste 205, Berkeley, CA 94705-2083 | 2012-04-10 |
| 1801168547 | Tristan Eleazar Mendoza | Dentist | 3000 Colby St, Ste. 302, Berkeley, CA 94705-2083 | 2012-01-26 |
| 1922305275 | Aimee Lynn Schimizzi, M.d., Inc | Orthopaedic Surgery | 3000 Colby St, 301, Berkeley, CA 94705-2083 | 2011-02-23 |
| 1639301575 | Myron Lee, M.d., Inc | Ophthalmology | 3000 Colby St, Suite 104, Berkeley, CA 94705-2083 | 2009-08-11 |
| 1720212012 | Sutter West Bay Medical Foundation | Internal Medicine | 3000 Colby St, #205, Berkeley, CA 94705-2083 | 2009-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972905768 | Ivan Diamond | Psychiatry & Neurology | 761 San Diego Rd, Berkeley, CA 94707-2025 | 2014-09-23 |
| 1508170259 | Robert Janssen | Psychiatry & Neurology | 2929 Seventh St, Suite 100, Berkeley, CA 94710 | 2010-08-04 |
| 1205953247 | Jennifer Ault | Psychiatry & Neurology | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159 | 2007-03-23 |
| 1265540892 | Brian Richardson | Psychiatry & Neurology | 2850 Telegraph Ave., Suite 110, Berkeley, CA 94705 | 2006-08-25 |
| 1790794360 | Robert Thomas Knight | Psychiatry & Neurology | 132 Barker Hall Uc Berkeley, Berkeley, CA 94720-3190 | 2006-08-05 |
| 1467492538 | Andrew Stewart Kayser | Psychiatry & Neurology | 132 Barker Hall, U.c. Berkeley, Berkeley, CA 94720-3190 | 2006-06-07 |
| 1477504926 | Matthew W Arnold | Psychiatry & Neurology | 2850 Telegraph Ave Ste 110, Berkeley, CA 94705 | 2006-05-12 |
| 1265412993 | Selena W Ellis | Psychiatry & Neurology | 2999 Regent St Ste 627, Berkeley, CA 94705-2190 | 2006-01-19 |
| 1992963920 | Joshua Elan Kuluva | Psychiatry & Neurology | 2850 Telegraph Ave, Suite 110, Berkeley, CA 94705-1192 | 2008-05-27 |
| 1316112733 | Antonio J Silva Sayago | Psychiatry & Neurology | 2850 Telegraph Ave Ste 110, Berkeley, CA 94705-1159 | 2008-04-26 |
| Find all providers in BERKELEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.