Eric Bernard Selesner, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013276 Issued in NY

Practice address

83 Maiden LN
New York, NY 10038-4812

Phone

(212) 780-2600

Fax

(212) 777-3918

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Campbell and Santoro Psychologists, PC

  • Psychologist
  • Hollis, NY
  • NPI 1124072210
  NPD (past)
• Spectrum Psychology Services, PLLC

  • Clinical Psychologist
  • Fountain Hills, AZ
  • NPI 1770520116
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104984731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 AVENUE A",
            "address_2": "APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093408",
            "telephone_number": "212-780-2727",
            "fax_number": "212-780-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384812",
            "telephone_number": "212-780-2600",
            "fax_number": "212-777-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELESNER",
        "first_name": "ERIC",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seleni Psychology Counseling and Support, PLLC
• Arkady Selenow, OD
• Emily Selenow, OD
• Michael Seleski, MD
• Melissa Selesky, NP-C
• Samuel Selesnick, MD
• Ellie Selevan, M.S.
• Penina Selevan
• Jane J Seley, GNP CDE
• Aleksey Seleznev, MD

• All providers in New York, NY
• Psychologist in New York

• 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.

Verify at the official NPI Registry.