Warren Selekman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4846-1 Issued in NY

Practice address

2880 Baisley Ave
Bronx, NY 10461-6117

Phone

(718) 931-5151

Fax

(718) 931-9127

NPI assigned

Jan 18, 2007

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• My Therapist LCSW, PLLC

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1164624151
  NPD (past)
• Wali Mohammad, M.D., P.C.

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1922281344
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1578615381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 BAISLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616117",
            "telephone_number": "718-931-5151",
            "fax_number": "718-931-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 BAISLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616117",
            "telephone_number": "718-931-5151",
            "fax_number": "718-931-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEKMAN",
        "first_name": "WARREN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4846-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01515737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deirdre Sekulic, LCSW
• Akua Sekyere, NP-C
• Joseph Martin Seldin, MD
• Leslie Wilfred Seldin, DDS
• Selective Home Care Agency, Inc
• Elizabeth Gabrielle Selesny, PA-C
• Self
• Selff Recovery Coaching
• Melissa Selian
• Selig Eisenberg,M.D., PC.

• Clinical Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.