Individual provider Active NPI

Shay Selden, PSYD, MED

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1942780465
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018572 Issued in PA
Practice address
100 S Broad St Ste 834
Philadelphia, PA 19110-1018
Phone
(267) 209-3390
Fax
(267) 930-6250
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018572 PA
Clinical Psychologist 103TC0700X PS018572 PA Primary

Addresses

Primary practice location

100 S Broad St Ste 834
Philadelphia, PA 19110-1018

Mailing address

100 S Broad St Ste 834
Philadelphia, PA 19110-1018
Phone (267) 209-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PS018572PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shay Selden, PSYD, Med, LLC Psychologist CurrentSince Jul 1, 2021 Accepting new patients

Locations

100 S Broad St
Ste 834
Philadelphia, PA 19110
Phone (267) 209-3390

1518 Walnut St
Ste 1100
Philadelphia, PA 19102
Phone (215) 346-7287

Organizations & group practices 1

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1942780465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 834",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101018",
            "telephone_number": "267-209-3390",
            "fax_number": "267-930-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 834",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101018",
            "telephone_number": "267-209-3390",
            "fax_number": "267-930-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDEN",
        "first_name": "SHAY",
        "name_prefix": "Dr.",
        "credential": "PSYD, MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018572",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.