Active NPI
William Osterweis Selig, PSY.D.
- Clinical Psychologist
- Berkeley, CA
National Provider Identifier
1376994301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27420
- Practice address
- 1010 Grayson St Ste 3
Berkeley, CA 94710-2611 - Phone
- (650) 503-8179
- NPI assigned
- Jun 30, 2016
- Sex
- Male
- 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 Psychologist | 103TC0700X | PSY27420 | CA | Primary |
Addresses
Primary practice location
1010 Grayson St Ste 3
Berkeley, CA 94710-2611
Mailing address
1010 Grayson St Ste 3
Berkeley, CA 94710-2611
Phone (650) 503-8179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27420 | CA | MD | Clinical Psychologist |
| 27420 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1376994301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 GRAYSON ST STE 3",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102611",
"telephone_number": "650-503-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 GRAYSON ST STE 3",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102611",
"telephone_number": "650-503-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIG",
"first_name": "WILLIAM",
"middle_name": "OSTERWEIS",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-30",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.