Active NPI
David N Seidman, ED.D.
- Clinical Psychologist
- Elkins Park, PA
National Provider Identifier
1801879747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS003335L
- Practice address
- 8302 Old York Rd
Elkins Park, PA 19027-1522 - Phone
- (215) 572-6517
- Fax
- (215) 576-7816
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- 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 | PS003335L | PA | Primary |
Addresses
Primary practice location
8302 Old York Rd
Elkins Park, PA 19027-1522
Mailing address
588 Hidden Lair Dr
Blue Bell, PA 19422-1368
Phone (215) 699-3605
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SE1252597 | Other | PA | BLUE CROSS |
| 1664285 | Other | PA | PERSONAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20120220000628 | PA | Practitioner - Clinical Psychologist | 0941468169 | Practice locations: Blue Bell, PA; Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8401 Roosevelt Blvd
Philadelphia, PA 19152-2034
Phone (215) 572-6515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS003335L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801879747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 HIDDEN LAIR DR",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221368",
"telephone_number": "215-699-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 OLD YORK RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271522",
"telephone_number": "215-572-6517",
"fax_number": "215-576-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDMAN",
"first_name": "DAVID",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS003335L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "SE1252597",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "1664285",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- 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.
- 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.