Individual provider Active NPI

Robert Anthony Siedler, D.O.

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1033522396
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
012665 Issued in OH
Practice address
10524 Euclid Ave
Department of Psychiatry
Cleveland, OH 44106-2205
Phone
(216) 844-3880
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 012665 OH Primary

Addresses

Primary practice location

10524 Euclid Ave
Department of Psychiatry
Cleveland, OH 44106-2205

Mailing address

10524 Euclid Ave
Department of Psychiatry
Cleveland, OH 44106-2205
Phone (216) 844-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001904 MI Practitioner - Psychiatry 4880998236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Mental Health for Central MichiganGroup PAC ID 4688660533, 44 clinicians

Practice addresses (Care Compare)

301 S Crapo St
Mt Pleasant, MI 48858-2941
Phone (989) 772-5938

500 S 3Rd Ave
Big Rapids, MI 49307-9501
Phone (231) 796-5825

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
012665OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Psychiatry CurrentSince Nov 4, 2019 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Sep 14, 2019 Accepting new patients
Pine Rest Christian Mental Health Services Psychiatry CurrentSince Sep 14, 2019 Accepting new patients
Hurley Medical Center Current Accepting new patients
Community Mental Health for Central Michigan Psychiatry CurrentSince Nov 24, 2019 Accepting new patients
Pine Rest Christian Mental Health Services Current Accepting new patients
Hurley Medical Center CurrentSince Nov 4, 2019 Accepting new patients

Locations

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1033522396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-844-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-844-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDLER",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "012665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.