Individual provider Active NPI

Ann Marie Melissa Seidel, PSY.D.

  • Clinical Neuropsychologist
  • Newtown, PA
National Provider Identifier
1093263295
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
MA-10271 Issued in MA
Practice address
31 Cambridge LN
Newtown, PA 18940-3329
Phone
(215) 968-5151
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X TPS030364 PR
Clinical Psychologist 103TC0700X TPS030364 PA
Clinical Child & Adolescent Psychologist 103TC2200X TPS030364 PA
School Psychologist 103TS0200X TPS030364 PA
Clinical Neuropsychologist 103G00000X MA-10271 MA Primary

Addresses

Primary practice location

31 Cambridge LN
Newtown, PA 18940-3329

Mailing address

76 Bedford St Ste 34
Lexington, MA 02420-4641
Phone (781) 486-4456

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

State licenses

LicenseStateTypeSpecialty
MA-10271MAMDClinical Neuropsychologist
TPS030364PRMDClinical Neuropsychologist
TPS030364PAMDClinical Child & Adolescent Psychologist
10271MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ann Marie Seidel, LLC CurrentSince Apr 20, 2021 Accepting new patients
Margiotti & Kroll Pediatrics, P.C. Past Accepting new patients
Child and Family Psychological Services, PLLC Clinical Neuropsychologist PastSince Sep 19, 2018 Accepting new patients

Locations

76 Bedford St
Ste 34
Lexington, MA 02420
Phone (617) 213-0292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1093263295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 34",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204641",
            "telephone_number": "781-486-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CAMBRIDGE LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403329",
            "telephone_number": "215-968-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "ANN MARIE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "TPS030364",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "TPS030364",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "TPS030364",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "TPS030364",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "MA-10271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.