Sid H Siahpush, MD, PHD. MPH, CGP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60240047 Issued in WA

Practice address

10500 Beardslee Blvd Unit 1665
Bothell, WA 98041-0300

Phone

(425) 209-0202

Fax

(425) 818-4879

NPI assigned

May 23, 2007

Reactivated

Nov 19, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 8, 2026 through May 8, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Holistic Approach LLC

  • Clinic/Center
  • Bothell, WA
  • NPI 1043966799
  NPD Authorized official
• Psychology Associates LLP

  • Professional Counselor
  • Madison, WI
  • NPI 1902952203
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1104036631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 BEARDSLEE BLVD UNIT 1665",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980410300",
            "telephone_number": "425-209-0202",
            "fax_number": "425-818-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 BEARDSLEE BLVD UNIT 1665",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980410300",
            "telephone_number": "425-209-0202",
            "fax_number": "425-818-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAHPUSH",
        "first_name": "SID",
        "middle_name": "H",
        "credential": "MD, PHD. MPH, CGP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "deactivation_date": "2025-10-22",
        "reactivation_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "53335-20",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "5465497134",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60240047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE LICENSE",
            "identifier": "53335-20",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "MD60240047",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shraddha Shirsat
• Shari Short, LMFT
• Sarah Shortt
• Peter Shoukrala, BPHARM
• Shaila S Shukla
• Mairah Siddiqua
• Keenan Siegfried, LMT
• Chanel Sijalbo, DPT
• Jesus Anthony Silva, LICSW
• Etsegenet E Simachew, PHARMACIST

• Psychiatry Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.