Gary Harmon Seidenberg, ED D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS003691L Issued in PA

Practice address

7901 Bustleton Ave
Suite 12
Philadelphia, PA 19152-3328

Phone

(215) 332-1164

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770575151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9981 WISTARIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151721",
            "telephone_number": "215-673-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BUSTLETON AVE",
            "address_2": "SUITE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523328",
            "telephone_number": "215-332-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDENBERG",
        "first_name": "GARY",
        "middle_name": "HARMON",
        "name_prefix": "Dr.",
        "credential": "ED D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003691L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Anne Seibert, CRNP
• Elizabeth Ann Seibert, CRNP
• Carole Seide, LPN
• Gregory Alan Seidel, PH.D.
• Henry Seidel, BS
• Dawn E Seiders, M.D.
• Emily Claire Seidle, LCSW
• Jordan Daniel Seidle, MA, LPC
• Tierra Yvette Seidle
• Arielle Beth Seidler

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.