Active NPI
Agnieszka Selinger, MA
- Clinical Psychologist
- Kew Gardens, NY
National Provider Identifier
1750689667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020034
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.