Active NPI
Ilona M Selzer-Kelting
- School Psychologist
- West Chazy, NY
National Provider Identifier
1871081596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1063242
- Practice address
- 37 Eagle Way
West Chazy, NY 12992-2562 - Phone
- (518) 563-8321
- NPI assigned
- Apr 27, 2018
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1063242 | NY | Primary |
Addresses
Primary practice location
37 Eagle Way
West Chazy, NY 12992-2562
Mailing address
35 Pinebrook Dr
Morrisonville, NY 12962-9782
Phone (518) 563-6587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063242 | Other | NY | PUBLIC SCHOOL TEACHER CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1063242 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beekmantown Central School District | Past | Accepting new patients | |
| Beekmantown Central School District | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Care Agency
- West Chazy, NY
- NPI 1780958033
-
- Local Education Agency (LEA)
- West Chazy, NY
- NPI 1952458093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1871081596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PINEBROOK DR",
"city": "MORRISONVILLE",
"state": "NY",
"postal_code": "129629782",
"telephone_number": "518-563-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 EAGLE WAY",
"city": "WEST CHAZY",
"state": "NY",
"postal_code": "129922562",
"telephone_number": "518-563-8321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELZER-KELTING",
"first_name": "ILONA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1063242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC SCHOOL TEACHER CERTIFICATE",
"identifier": "1063242",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chazy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.