Individual provider Active NPI

Ilona M Selzer-Kelting

  • School Psychologist
  • West Chazy, NY
National Provider Identifier
1871081596
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1063242 Issued in NY
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

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063242OtherNYPUBLIC 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

LicenseStateTypeSpecialty
1063242NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.