Active NPI
Alysia Heather Siegel, PSYD
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1053889857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022982
- Practice address
- 1300 Bruce B. Downs Boulevard
116B
Tampa, FL 33612 - Phone
- (813) 631-2519
- NPI assigned
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022982 | NY | Primary |
Addresses
Primary practice location
1300 Bruce B. Downs Boulevard
116B
Tampa, FL 33612
Mailing address
1300 Bruce B. Downs Boulevard
116B
Tampa, FL 33612
Phone (813) 631-2519
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1053889857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BRUCE B. DOWNS BOULEVARD",
"address_2": "116B",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-631-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BRUCE B. DOWNS BOULEVARD",
"address_2": "116B",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-631-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "ALYSIA",
"middle_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.