Roni Lynn Seltzberg, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

036-079902 Issued in IL

Practice address

216 S Jefferson St
Suite 101
Chicago, IL 60661-5608

Phone

(312) 902-9950

Fax

(312) 902-2665

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1780971796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615608",
            "telephone_number": "312-902-9950",
            "fax_number": "312-902-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615608",
            "telephone_number": "312-902-9950",
            "fax_number": "312-902-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZBERG",
        "first_name": "RONI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "036-079902",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-079902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kareem Selman-Jackson, MBBS
• Ashley Nicole Selner, MD, PH.D
• Elizabeth Selph, LPC
• John Michael Selser Jr.
• Katharine Selsky
• Anne Seltzer, LCSW
• Julie Seltzer
• Selva Psychology & Wellness, PLLC
• Kai-Sa Selvage
• Selvam LTD.

• Forensic Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Forensic Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.