Active NPI
Stefani Joy Seiden, PSY.D.
- Clinical Psychologist
- Melville, NY
National Provider Identifier
1477732840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017266
- Practice address
- 900 Walt Whitman Rd Ste 206
Melville, NY 11747-2215 - Phone
- (516) 375-7499
- NPI assigned
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 017266 | NY | Primary |
Addresses
Primary practice location
900 Walt Whitman Rd Ste 206
Melville, NY 11747-2215
Mailing address
37 Manetto Dr
Plainview, NY 11803-2124
Phone (516) 375-7499
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017266 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1477732840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MANETTO DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032124",
"telephone_number": "516-375-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WALT WHITMAN RD STE 206",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472215",
"telephone_number": "516-375-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEN",
"first_name": "STEFANI",
"middle_name": "JOY",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.