Active NPI
Jenny Clarissa Seham, PHD
- Psychologist
- New York, NY
National Provider Identifier
1700028685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013807
- Practice address
- 230 W 105TH St
Apt. 6C
New York, NY 10025-3916 - Phone
- (212) 496-0176
- NPI assigned
- Mar 24, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013807 | NY | Primary |
Addresses
Primary practice location
230 W 105TH St
Apt. 6C
New York, NY 10025-3916
Mailing address
230 W 105TH St
Apt. 6C
New York, NY 10025-3916
Phone (917) 533-2832
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013807 | NY | MD | Physical Therapist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1700028685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W 105TH ST",
"address_2": "APT. 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253916",
"telephone_number": "917-533-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 105TH ST",
"address_2": "APT. 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253916",
"telephone_number": "212-496-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEHAM",
"first_name": "JENNY",
"middle_name": "CLARISSA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-24",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.