SELAH PSYCHIATRY AND WELLNESS CORP.
NPI 1962395889
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since May 30, 2025
7520 W WATERS AVE STE 17, TAMPA, FL 33615(585) 957-0595 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, May 30, 2025 (2 updates tracked since 2025).

About Selah Psychiatry And Wellness Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELAH PSYCHIATRY AND WELLNESS CORP. (NPI 1962395889) is a healthcare organization registered as a psychiatric/mental health in Tampa, Florida and active in the NPI registry since May 2025. The organization lists Rosana Rival Perez, Owner, as its authorized official.

NPPES Registry Identity

NPI1962395889
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSELAH PSYCHIATRY AND WELLNESS CORP.
Location Address7520 W WATERS AVE STE 17Tampa, FL 33615-1599
Mailing Address7520 W Waters Ave Ste 17Tampa, FL 33615-1599 · (585) 957-0595
Organization SubpartNo
Authorized OfficialRosana Rival PerezOwner · (585) 957-0595
Enumeration DateMay 30, 2025
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1962395889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
7520 W WATERS AVE STE 17, Tampa, FL 33615

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selah Psychiatry And Wellness Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Selah Psychiatry And Wellness Corp., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1083484414
10631 PARKERS LANDING DR APT 213
Tampa, FL 33615
(585) 957-0595
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selah Psychiatry And Wellness Corp.'s NPI number?

The NPI number for Selah Psychiatry And Wellness Corp. is 1962395889. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is Selah Psychiatry And Wellness Corp. located?

Selah Psychiatry And Wellness Corp. is located at 7520 W Waters Ave Ste 17, Tampa, FL 33615. The listed phone number is (585) 957-0595.

What is Selah Psychiatry And Wellness Corp.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Selah Psychiatry And Wellness Corp. enrolled in Medicare?

Yes. Selah Psychiatry And Wellness Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Selah Psychiatry And Wellness Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Selah Psychiatry And Wellness Corp.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Selah Psychiatry And Wellness Corp. was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.