DR. LEO JOSEPH SELM III


Address: Box 268, Pitman, NJ 08071
Phone: 6099220980

DR. LEO JOSEPH SELM III (NPI# 1598054900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598054900
Entity Type Individual
Full Name DR. LEO JOSEPH SELM III
Credential PSY. D.
Practice Address Box 268
Pitman
NJ 08071
Practice Telephone 6099220980
Mailing Telephone 6099220980
Enumeration Date 2011-04-06
Last Update Date 2015-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 35S100450200 NJ Behavioral Health & Social Service Providers

Office Location

Street Address BOX 268
City PITMAN
State NJ
Zip Code 08071

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1043612948 Brennan Burditt Occupational Therapy Assistant 630s Lincoln Ave., Pitman, NJ 08071 2014-09-23
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1477627321 Joseph W Sheffer Chiropractor 140 S Broadway, Suite 2, Pitman, NJ 08071 2006-11-20
1003827353 John R Mcdermott Dentist 102 Pitman Ave, Pitman, NJ 08071 2006-08-11
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1043831183 Nocd New Jersey PC Psychologist 177 Willet St, Passaic, NJ 07055-1929 2020-04-29
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Competitor

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City PITMAN
Zip Code 08071

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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