Individual provider Active NPI

Joy Helene Siegrist, MD

  • Psychiatry Physician
  • Riverview, FL
National Provider Identifier
1043223027
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME56584 Issued in FL
Practice address
12222 Creek Edge Dr
Riverview, FL 33579-6500
Phone
(914) 260-4411
Fax
(813) 654-6453
NPI assigned
Aug 14, 2006
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME56584 FL Primary
Psychiatry Physician 2084P0800X A43340 CA
Psychiatry Physician 2084P0800X 226225 NY
Child & Adolescent Psychiatry Physician 2084P0804X ME56584 FL
Child & Adolescent Psychiatry Physician 2084P0804X 226225-1 NY
Child & Adolescent Psychiatry Physician 2084P0804X A43340 CA
Geriatric Psychiatry Physician 2084P0805X ME56584 FL
Geriatric Psychiatry Physician 2084P0805X 226225-1 NY
Geriatric Psychiatry Physician 2084P0805X A43340 CA

Addresses

Primary practice location

12222 Creek Edge Dr
Riverview, FL 33579-6500

Mailing address

12222 Creek Edge Dr
Riverview, FL 33579-6500
Phone (914) 260-4411

Other identifiers 1

IdentifierTypeStateIssuer
000272100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43340CAMDChild & Adolescent Psychiatry Physician
ME56584FLMDChild & Adolescent Psychiatry Physician
226225-1NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Lodge Medical Group, P.C. Psychiatry Past Accepting new patients
Huntingdon Healthcare Inc Psychiatry PastSince Jun 1, 2006 Accepting new patients
Stony Lodge Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1043223027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 CREEK EDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335796500",
            "telephone_number": "914-260-4411",
            "fax_number": "813-654-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 CREEK EDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335796500",
            "telephone_number": "914-260-4411",
            "fax_number": "813-654-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGRIST",
        "first_name": "JOY",
        "middle_name": "HELENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME56584",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A43340",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "226225",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME56584",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "226225-1",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A43340",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME56584",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "226225-1",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A43340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000272100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.