Active NPI
Lynn C Siegel, PSY.D.
- Clinical Psychologist
- Calabasas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 15371
- Practice address
- 22231 Mulholland Hwy Ste 106
Calabasas, CA 91302-5178 - Phone
- (818) 222-9300
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.004866 | IL | |
| Clinical Psychologist | 103TC0700X | PSY 15371 | CA | Primary |
Addresses
Primary practice location
22231 Mulholland Hwy Ste 106
Calabasas, CA 91302-5178
Mailing address
PO Box 5684
Oxnard, CA 93031-5684
Phone (310) 268-2538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22231 Mulholland Hwy
Suite 106
Calabasas, CA 91302-5178
Phone 81822293000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 15371 | CA | MD | Clinical Psychologist |
| 071.004866 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Act-Associates in Clinical Therapy, a Psychological Corporation | Clinical | Current | Accepting new patients |
| Wood Glen Hall, Inc. | Past | Accepting new patients |
Locations
22231 Mulholland Hwy
Ste 106
Calabasas, CA 91302
Phone (818) 222-9300
10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
11303 W Washington Blvd
#200
Los Angeles, CA 90066
Phone (310) 482-3200
23501 Cinema Dr
Ste 200
Valencia, CA 91355
Phone (661) 288-4800
Organizations & group practices 5
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.
-
- Psychologist
- Calabasas, CA
- NPI 1588199632
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Clinical Psychologist
- Calabasas, CA
- NPI 1427115138
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
-
- Assisted Living Facility
- Santa Barbara, CA
- NPI 1992107205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1063507713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5684",
"city": "OXNARD",
"state": "CA",
"postal_code": "930315684",
"telephone_number": "310-268-2538",
"fax_number": "310-235-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22231 MULHOLLAND HWY STE 106",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913025178",
"telephone_number": "818-222-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "LYNN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.004866",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 15371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.