Individual provider Active NPI

Shelley Sellinger, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1740371715
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
209783 Issued in NY
Practice address
109 W 27TH St Ste 5S
New York, NY 10001-6208
Phone
(833) 351-8255
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C1-0009003 DE
Psychiatry Physician 2084P0800X ME116887 FL
Psychiatry Physician 2084P0800X 4301108871 MI
Psychiatry Physician 2084P0800X 310017-1205 UT
Psychiatry Physician 2084P0800X 35.129360 OH
Psychiatry Physician 2084P0800X 209783 NY Primary

Addresses

Primary practice location

109 W 27TH St Ste 5S
New York, NY 10001-6208

Mailing address

22 Lark Dr
Woodstock, NY 12498-1427
Phone (845) 679-4111

Other practice location 1

10 W Broadway Fl 7
Salt Lake City, UT 84101-2060
Phone (833) 351-8255

Other practice location 2

1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255

Other practice location 3

455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324
Phone (833) 351-8255

Other practice location 4

1521 Concord Pike Ste 301
Wilmington, DE 19803-3644
Phone (833) 351-8255

Other practice location 5

22 Lark Dr
Woodstock, NY 12498-1427
Phone (845) 679-4111

Other practice location 6

9435 Waterstone Blvd Ste 140
Cincinnati, OH 45249-8229
Phone (833) 351-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, DE, FL, OH, UT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20050720000127 NY Practitioner - Psychiatry 6406883628 Reassigns benefits to 1 organization
I20160815002879 MI Practitioner - Psychiatry 6406883628 Reassigns benefits to 3 organizations
I20181108002063 DE Practitioner - Psychiatry 6406883628 Reassigns benefits to 1 organization
I20230124000051 FL Practitioner - Psychiatry 6406883628 Reassigns benefits to 1 organization
I20230323000987 OH Practitioner - Psychiatry 6406883628 Reassigns benefits to 1 organization
I20231011003451 UT Practitioner - Psychiatry 6406883628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0009003DEMDPsychiatry Physician
209783NYMDPsychiatry Physician
35.129360OHMDPsychiatry Physician
310017-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Community Mental Health System CurrentSince Jul 21, 2016 Accepting new patients
Cindy Elko PSYD LLC CurrentSince Oct 16, 2018 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
West Michigan Community Mental Health System CurrentSince Jul 21, 2016 Accepting new patients
Catholic Charities of Ingham, Eaton and Clinton Counties CurrentSince Mar 1, 2019 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Dec 12, 2022 Accepting new patients
Errol R. Nadler LCSW, P.C. Psychiatry PastSince Sep 1, 1998 Accepting new patients
Cristo Rey Community Center Past Accepting new patients

Locations

260 Chapman Rd
Ste 205C
Newark, DE 19702
Phone (302) 533-7532

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

1301 Riverplace Blvd
Jacksonville, FL 32207

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

455 E Eisenhower Pkwy
Ste 300
Ann Arbor, MI 48108
Phone (517) 580-5727

105 Lincoln St
Hart, MI 49420
Phone (231) 843-7297

1717 N High St
Lansing, MI 48906
Phone (517) 371-1700

920 Diana St
Ludington, MI 49431
Phone (231) 843-7297

4200 Fashion Square Blvd
Ste 201
Saginaw, MI 48603
Phone (872) 368-4123

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
#55
New York, NY 10001

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 613-2977

10 W Broadway
Fl 7
Salt Lake City, UT 84101
Phone (801) 228-7825

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1740371715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LARK DR",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981427",
            "telephone_number": "845-679-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST STE 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 W Broadway Fl 7",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012060",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Riverplace Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322079032",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 E Eisenhower Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481083324",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 Concord Pike Ste 301",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033644",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Lark Dr",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "NY",
            "postal_code": "124981427",
            "country_code": "US",
            "telephone_number": "845-679-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9435 Waterstone Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452498229",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLINGER",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0009003",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME116887",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301108871",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "310017-1205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.129360",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "209783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.