Active NPI
Selin Deeskinazis, PSY.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1801089594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016270
- Practice address
- 19 W 34TH St
PH Suite
New York, NY 10001-3006 - Phone
- (347) 860-5417
- NPI assigned
- Aug 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 016270 | NY | Primary |
Addresses
Primary practice location
19 W 34TH St
PH Suite
New York, NY 10001-3006
Mailing address
303 W 66TH St
Apt. 12 Fe
New York, NY 10023-6305
Phone (347) 860-5417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080821000403 | NY | Practitioner - Clinical Psychologist | 0941398127 | Practice locations: White Plains, NY; New Rochelle, NY; New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7 Bonnie Briar LN
Larchmont, NY 10538-1331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016270 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1801089594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W 66TH ST",
"address_2": "APT. 12 FE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236305",
"telephone_number": "347-860-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "PH SUITE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "347-860-5417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEESKINAZIS",
"first_name": "SELIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-25",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.