Individual provider Active NPI

Barbara Seldin, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1114458643
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22042 Issued in CA
Practice address
2214 5TH Ave
San Diego, CA 92101-2104
Phone
(619) 252-1816
Fax
(619) 618-1795
NPI assigned
Mar 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22042 CA Primary

Addresses

Primary practice location

2214 5TH Ave
San Diego, CA 92101-2104

Mailing address

1528 Gregory St
San Diego, CA 92102-1632
Phone (619) 252-1816

Other practice location 1

1528 Gregory St
San Diego, CA 92102-1632
Phone (619) 252-1816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410002735 CA Practitioner - Clinical Psychologist 3870879687 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2214 5TH Ave
San Diego, CA 92101-2104
Phone (619) 252-1816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
TRG Business Consulting Dynamics, Inc. Past Accepting new patients
Fredric a. Seldin, PH.D., PC Clinical PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1114458643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 GREGORY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021632",
            "telephone_number": "619-252-1816",
            "fax_number": "619-618-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012104",
            "telephone_number": "619-252-1816",
            "fax_number": "619-618-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Gregory St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921021632",
            "country_code": "US",
            "telephone_number": "619-252-1816",
            "fax_number": "619-618-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELDIN",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.