Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mike Azarya Seliktar, PHD

Individual provider Psychologist · NPI 1578734125

Dr. Mike Azarya Seliktar, PHD is a Clinical Psychologist in Los Angeles, California. Qualified in 2005, 21 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
21
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4929 Wilshire Blvd Ste 510
Los Angeles, CA 90010-3808
Phone: (562) 904-3999
Fax: (855) 688-6746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1578734125
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 21, 2008
Last updated in NPPESNovember 21, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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