Sean William Seibert, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0105132 Issued in NY

Practice address

515 Pine Street
Jamestown, NY 14701-5315

Phone

(716) 664-7501

Fax

(716) 664-5186

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breakthrough Counseling, LCSW

  • Mental Health Counselor
  • Jamestown, NY
  • NPI 1487351565
  NPD (past)
• Hulbert Counseling Services LCSW PC

  • Clinical Social Worker
  • Jamestown, NY
  • NPI 1720120629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003970054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PINE STREET",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015315",
            "telephone_number": "716-664-7501",
            "fax_number": "716-664-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PINE STREET",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015315",
            "telephone_number": "716-664-7501",
            "fax_number": "716-664-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "SEAN",
        "middle_name": "WILLIAM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0105132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "6893537002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01243856",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020913301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "324244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000511085001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "11305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6107105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "725284",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Freeman Scott, M.S. CCC/SLP
• Kimberly Evette Scott, COTA
• Robert W. Scott, M.D.
• Patricia J Searle
• Carole P Seekings, RN
• Seneca Eye Surgeons, Inc.
• Ann Gleason Servoss, M.D.
• Alyssa Cathryn Settelmaier, DPT, CLT
• Shelly M Shaffer
• Jatan A Shah, MD

• Psychologist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.