Matthew Avrum Seitman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY34512 Issued in CA

Practice address

2635 Camino del Rio S Ste 303
San Diego, CA 92108-3729

Phone

(619) 635-2634

Fax

(619) 632-5001

NPI assigned

Sep 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Dynamic Pathways Psychology Inc

  • Psychologist
  • San Diego, CA
  • NPI 1083494629
  NPD Authorized official

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1356742993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 FORBES AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201803",
            "telephone_number": "619-635-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083729",
            "telephone_number": "619-635-2634",
            "fax_number": "619-632-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITMAN",
        "first_name": "MATTHEW",
        "middle_name": "AVRUM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34512",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY34512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Seijo, RN
• Kayla Seim
• Cindy Seirup
• Adam Seiter
• Dawn Germaine Seiter
• Gretchen Elizabeth Seitz, L.AC., DIPL.OM
• Sandra Seitz, RN
• Tro Boghos Sekayan, MD
• Jade Lequinn Sekeres, PNP
• Sumie Seki

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.