Active NPI
Robert Alan Seligson, PH.D.
- Psychologist
- New York City, NY
National Provider Identifier
1023102399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013087-1
- Practice address
- 210 West 16TH St
#5G
New York City, NY 10011 - Phone
- (212) 620-3198
- Fax
- (718) 388-4468
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013087-1 | NY | Primary |
Addresses
Primary practice location
210 West 16TH St
#5G
New York City, NY 10011
Mailing address
210 West 16TH St
#5G
New York City, NY 10011
Phone (212) 620-3198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6883852 | Other | NY | GHI |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013087-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023102399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WEST 16TH ST",
"address_2": "#5G",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-620-3198",
"fax_number": "718-388-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WEST 16TH ST",
"address_2": "#5G",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-620-3198",
"fax_number": "718-388-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIGSON",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013087-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6883852",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.