# SIMON SELWYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Belmont Psychiatric Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619625753
- **Authorized official:** MR. SIMON MAURICE SELWYN CNP, PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (617) 596-1975

## Contact information

- **Practice address:** 38 LEXINGTON ST STE E, BELMONT, MA 02478-5009
- **Practice address phone:** (617) 596-1975
- **Practice address fax:** (617) 977-2526
- **Mailing address:** 31 HILL RD, BELMONT, MA 02478-4302
- **Mailing address phone:** (617) 596-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2022
- **Last updated:** 03/17/2022
