Organization Active NPI

Jerome Siegmeister MD PA

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, FL
National Provider Identifier
1083375315
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JEROME SIEGMEISTER MD PA
Practice address
3850 Bird Rd FL 10
Miami, FL 33146-1501
Phone
(305) 666-7225
NPI assigned
Jan 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Authorized official

Name
Dr. Jerome Aron Siegmeister, MDNPI 1700248077
Title
Owner
Phone
(305) 666-7225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3850 Bird Rd FL 10
Miami, FL 33146-1501

Mailing address

7712 Altamira Ave
Coral Gables, FL 33143-6244
Phone (305) 666-7225

Other identifiers 1

IdentifierTypeStateIssuer
ME142120OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

3850 Bird Rd
Fl 10
Miami, FL 33146
Phone (305) 666-7225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1083375315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 ALTAMIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331436244",
            "telephone_number": "305-666-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD FL 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461501",
            "telephone_number": "305-666-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME SIEGMEISTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "SIEGMEISTER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "ARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-666-7225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME142120",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.