Dustin Siegel, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009259 Issued in IL

Practice address

1820 W Webster Ave Ste 400
Chicago, IL 60614-4892

Phone

(312) 248-3048

NPI assigned

Mar 26, 2020

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 17, 2020 through Sep 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Leap Center for Anxiety

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1114504396
  NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1093342156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W WEBSTER AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144892",
            "telephone_number": "312-248-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W WEBSTER AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144892",
            "telephone_number": "312-248-3048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "656 W Randolph St Ste 4W",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606612164",
            "country_code": "US",
            "telephone_number": "847-559-0001 x58",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Lake Cook Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600154933",
            "country_code": "US",
            "telephone_number": "847-559-0001 x58",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "DUSTIN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alix Siegel, LCPC
• Allen M Siegel, MD
• Barry P Siegel, O.D.
• Brett Michael Siegel
• Catherine Marie Siegel, LCSW
• Eileen Davidson Siegel, PA-C
• Emily Siegel, DO
• Gordon J Siegel, M.D.
• Hope Siegel, DPT
• Jaclyn M Siegel, DPT

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.