John Seltenreich

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010817-1 Issued in NY

Practice address

21 Broadleaf Dr
Clifton Park, NY 12065-5719

Phone

(518) 859-3951

Fax

(518) 373-5925

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891734414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BROADLEAF DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655719",
            "telephone_number": "518-859-3951",
            "fax_number": "518-373-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BROADLEAF DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655719",
            "telephone_number": "518-859-3951",
            "fax_number": "518-373-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTENREICH",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010817-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01939528",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE REGISTRATION CERT",
            "identifier": "010817-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn Scott, COTA
• Michael Sebastian, OT
• Lawrence Howard Seitelman, D.D.S.
• Select-Care Chiropractic, P.C.
• Bethany Selkis
• Seton Health at Schuyler Ridge Residential Healthcare
• Seton Health System
• Seton Health System
• Seton Health System, Inc.
• Seton Health System, Inc.

• Clinical Psychologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.