Fredric a. Seldin, PH.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FREDRIC A. SELDIN, PH.D., PC

Practice address

7840 Mission Center CT Ste 102
San Diego, CA 92108-1320

Phone

(619) 813-5923

Fax

(619) 618-1795

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Fredric A. Seldin, PH.D.NPI 1326318346

Title

President

Phone

(619) 813-5923

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Fredric A Seldin, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1326318346
  NPD (past) Authorized official
• Richard Dicker, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1699184192
  NPD (past)
• Barbara Seldin, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1114458643
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629507728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081320",
            "telephone_number": "619-813-5923",
            "fax_number": "619-618-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081320",
            "telephone_number": "619-813-5923",
            "fax_number": "619-618-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC A. SELDIN, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SELDIN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-813-5923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7890440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Taylor Frederick
• Justin Fredericks, DO
• Nicole Fredericks
• Melissa Frederickson, MS, CCC/SLP
• Ryan Anthony Frederiksen, MD
• Danielle Austin Fredricks
• Natalie Jean Fredricks, MA, AMFT
• Daniel Aaron Fredrickson, DMD
• Jenne Fredrickson
• Sarah Charlene Fredrickson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.