NPIMap

Organization Active NPI

Judy Seldin Psychotherapy, PLC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1386133973
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009730 Issued in MI
Legal business name
JUDY SELDIN PSYCHOTHERAPY, PLC
Practice address
2350 Washtenaw Ave Ste 7E
Ann Arbor, MI 48104-4532
Phone
(734) 913-9734
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Judy Seldin, MA, LLPNPI 1811246580
Title
Limited Licensed Psychologist
Phone
(734) 913-9734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301009730 MI Primary

Addresses

Primary practice location

2350 Washtenaw Ave Ste 7E
Ann Arbor, MI 48104-4532

Mailing address

2350 Washtenaw Ave Ste 7E
Ann Arbor, MI 48104-4532
Phone (734) 913-9734

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1386133973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 7E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-913-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 7E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-913-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY SELDIN PSYCHOTHERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "SELDIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "LIMITED LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-913-9734",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.