Michael Ross Seligson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0002586 Issued in FL

Practice address

350 Southeast 2ND Street
Suite 130523
Fort Lauderdale, FL 33301-1915

Phone

(954) 551-7777

Fax

(954) 206-2676

NPI assigned

Nov 23, 2005

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 names 1

• Dr. M Ross Seligson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1649253667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EAST LAS OLAS BOULEVARD",
            "address_2": "SUITE 130523",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012477",
            "telephone_number": "954-563-2800",
            "fax_number": "954-563-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SOUTHEAST 2ND STREET",
            "address_2": "SUITE 130523",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011915",
            "telephone_number": "954-551-7777",
            "fax_number": "954-206-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGSON",
        "first_name": "MICHAEL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0002586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "SELIGSON",
            "middle_name": "ROSS",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Holly Seipt, OTR/L
• Jennifer Seirafi, MD
• Tascine Seiveright, CRNA
• Sela's Place Inc
• Anne Selby, LCSW
• Montana Sellers, PA-C
• Nadezda Selmic, DMD
• Paul Dominique Senatus, ARNP
• Sendarx LLC
• Christopher Myron Senger, M.D.

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.