MR. JOSEPH (JOE) ROBERT SELDESS


Address: 1014 Brummel, Evanston, IL 60202-3874
Phone: 8478692370

MR. JOSEPH (JOE) ROBERT SELDESS (NPI# 1649565060) 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) 1649565060
Entity Type Individual
Full Name MR. JOSEPH (JOE) ROBERT SELDESS
Credential PSYCHOTHERAPIST
Practice Address 1014 Brummel
Evanston
IL 60202-3874
Mailing Address 1014 Brummel St.
Evanston
IL 60202-3874
Practice Telephone 8478692370
Mailing Telephone 8478692370
Enumeration Date 2011-06-14
Last Update Date 2011-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers

Office Location

Street Address 1014 BRUMMEL
City EVANSTON
State IL
Zip Code 60202-3874

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295034544 Insight Psychological Centers Psychologist 1609 Sherman Ave, #205, Evanston, IL 60201-3753 2011-03-24

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1235783630 Charlene Sanuade Psychologist 29 S Webster St Ste 390a, Naperville, IL 60540-5356 2019-07-25
1487127668 Robert Petite Psychologist 4717 S Greenwood Ave, Chicago, IL 60615-1933 2019-01-09
1871929042 Management Services Team Inc. Psychologist 18225 Fountainbleau Dr, Hazel Crest, IL 60429-2231 2013-09-19
1740421296 South Suburban Senior Socialites, Inc Psychologist 17303 Hawthorne Dr, Hazel Crest, IL 60429-1838 2009-03-12
1275798308 Options Medical Services Inc. Psychologist 4444 S Michigan Ave, Chicago, IL 60653-3117 2008-07-29
1831362227 Greater Chicago Group Psychotherapy, Inc. Psychologist 54 Falcon Place, Westmont, IL 60559 2008-04-08
1710162862 Wise Behavioral Health Services Ltd Psychologist 9012 S Crandon Ave, Chicago, IL 60617-3807 2008-01-08
1942485198 Pathways Psychology Services P.C. Psychologist 28w671 Garys Mill Road, Winfield, IL 60190 2008-01-07
1083894679 Helping Hands Care Services Psychologist 1101 S Austin Blvd, Chicago, IL 60644-5318 2007-11-12
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Competitor

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City EVANSTON
Zip Code 60202

Improve Information

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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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