Individual provider Active NPI

Victoria Mary Selser, PSYCHOLOGIST

  • Psychologist
  • Seattle, WA
National Provider Identifier
1114144110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 00001091 Issued in WA
Practice address
500 13TH Ave E Apt 406
Seattle, WA 98102-5188
Phone
(206) 328-7808
Fax
(206) 328-7808
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 00001091 WA Primary

Addresses

Primary practice location

500 13TH Ave E Apt 406
Seattle, WA 98102-5188

Mailing address

2401 10TH Ave E
500 13TH Ave E #406
Seattle, WA 98102-4011
Phone (206) 658-3389

Other identifiers 1

IdentifierTypeStateIssuer
70028691OtherWAUNITED BEHAVIORAL HEALTH

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

State licenses

LicenseStateTypeSpecialty
PY 00001091WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114144110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 10TH AVE E",
            "address_2": "500 13TH AVE E #406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024011",
            "telephone_number": "206-658-3389",
            "fax_number": "206-328-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 13TH AVE E APT 406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025188",
            "telephone_number": "206-328-7808",
            "fax_number": "206-328-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELSER",
        "first_name": "VICTORIA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 00001091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "70028691",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

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.

Verify at the official NPI Registry.