Active NPI
Jennifer C. Selensky, PHD
- Clinical Psychologist
- Cary, NC
National Provider Identifier
1992370985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5972
- Practice address
- 210 Ashville Ave Ste 225
Cary, NC 27518-6622 - Phone
- (919) 350-7331
- NPI assigned
- May 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5972 | NC | Primary |
| Health Service Psychologist | 103TH0100X |
Addresses
Primary practice location
210 Ashville Ave Ste 225
Cary, NC 27518-6622
Mailing address
210 Ashville Ave Ste 225
Cary, NC 27518-6622
Phone (919) 350-7331
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5972 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1992370985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ASHVILLE AVE STE 225",
"city": "CARY",
"state": "NC",
"postal_code": "275186622",
"telephone_number": "919-350-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ASHVILLE AVE STE 225",
"city": "CARY",
"state": "NC",
"postal_code": "275186622",
"telephone_number": "919-350-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELENSKY",
"first_name": "JENNIFER",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-23",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5972",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.