M. Ross Seligson, PH.D., P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

M. ROSS SELIGSON, PH.D., P.A.

Practice address

915 Middle River Drive
Suite 520
Fort Lauderdale, FL 33304-3561

Phone

(954) 563-2800

Fax

(954) 563-9771

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. M. Ross Seligson, PH.D.

Title

Owner/President

Phone

(954) 563-2800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1164711503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DRIVE",
            "address_2": "SUITE 520",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043561",
            "telephone_number": "954-563-2800",
            "fax_number": "954-563-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DRIVE",
            "address_2": "SUITE 520",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043561",
            "telephone_number": "954-563-2800",
            "fax_number": "954-563-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ROSS SELIGSON, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "SELIGSON",
        "authorized_official_first_name": "M. ROSS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-563-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.