Individual provider Active NPI

Michal Seligman, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1942538814
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010885-1 Issued in NY
Practice address
530 W End Ave Ofc GR3
New York, NY 10024-3246
Phone
(212) 595-4092
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 010885-1 NY Primary

Addresses

Primary practice location

530 W End Ave Ofc GR3
New York, NY 10024-3246

Mailing address

530 W End Ave Ofc GR3
New York, NY 10024-3246
Phone (212) 595-4092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2020 through Feb 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010885-1NYMDPsychologist
010885NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1942538814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W END AVE OFC GR3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243246",
            "telephone_number": "212-595-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W END AVE OFC GR3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243246",
            "telephone_number": "212-595-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGMAN",
        "first_name": "MICHAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010885-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.