Individual provider Active NPI

Agnieszka Selinger, MA

  • Clinical Psychologist
  • Kew Gardens, NY
National Provider Identifier
1750689667
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020034 Issued in NY
Practice address
8460 123Rd St
Kew Gardens
Kew Gardens, NY 11415-3305
Phone
(718) 441-0166
NPI assigned
Mar 2, 2011
Last updated
Jul 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 020034 NY Primary

Addresses

Primary practice location

8460 123Rd St
Kew Gardens
Kew Gardens, NY 11415-3305

Mailing address

3504 28TH Ave
Astoria
Astoria, NY 11103-4665
Phone (631) 965-1044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 20, 2015 through Nov 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1750689667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 28TH AVE",
            "address_2": "ASTORIA",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034665",
            "telephone_number": "631-965-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 123RD ST",
            "address_2": "KEW GARDENS",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153305",
            "telephone_number": "718-441-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELINGER",
        "first_name": "AGNIESZKA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.