Active NPI
Ryan Seidman, PSY.D.
- Clinical Child & Adolescent Psychologist
- Lake Worth, FL
National Provider Identifier
1225455033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY8526
- Practice address
- 4445 Pine Forest Dr
Lake Worth, FL 33463-4676 - Phone
- (215) 407-5100
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY8526 | FL | Primary |
Addresses
Primary practice location
4445 Pine Forest Dr
Lake Worth, FL 33463-4676
Mailing address
4445 Pine Forest Dr
Lake Worth, FL 33463-4676
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY8526 | FL | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1225455033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 PINE FOREST DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334634676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 PINE FOREST DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334634676",
"telephone_number": "215-407-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDMAN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY8526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.