SELINA PHAN PSYD
NPI 1548638364
Psychologist - Clinical in Elmhurst, NY

Q: What is Selina Phan's NPI number?

The NPI number for Selina Phan is 1548638364. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Q: What is Selina Phan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Selina Phan was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2015PECOS EnrolledAccepts Medicare Assignment

7901 BROADWAY # D10-38, ELMHURST, NY 11373(718) 334-3570(718) 334-5006 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Dec 13, 2024 (2 updates tracked since 2024).

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About Selina Phan Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELINA PHAN PSYD (NPI 1548638364) is an individual clinical provider in Elmhurst, New York, licensed in New York (027800) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Hospital Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548638364

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSELINA PHANCredential: PSYD

Location Address7901 BROADWAY # D10-38Elmhurst, NY 11373-1329

Mailing Address7901 Broadway # D10-38Elmhurst, NY 11373-1329 · (718) 334-3570 · Fax (718) 334-5006

Phone(718) 334-3570

Fax(718) 334-5006

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 10, 2015

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1548638364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 027800✔ Licensed in NY · P131636

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X

7901 BROADWAY # D10-38, Elmhurst, NY 11373

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Selina Phan Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113405747

PECOS Enrollment IDI20260204000048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Selina Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation

Same address

General Acute Care Hospital

79-01 BROADWAY
Elmhurst, NY 11373

Reassigned Medicare billing, New York enrollment
1,615 clinicians in this Medicare group

NPI 1063426377 (718) 334-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330128

Location79-01 BroadwayElmhurst, NY 11373 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$201.98 typical visit price

range $67.00 – $201.98

Typical copayment $50.49 (range $16.75 – $50.49)

Most-billed visit code 99205

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN YI NP

Nurse Practitioner (Psychiatric/Mental Health)