Kasey Blair Siegel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024810 Issued in NY

Practice address

901 5TH Ave
New York, NY 10021-4157

Phone

(646) 351-0220

NPI assigned

Mar 24, 2017

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kasey Rothkopf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1104357748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 KENT RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702305",
            "telephone_number": "617-515-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214157",
            "telephone_number": "646-351-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "KASEY",
        "middle_name": "BLAIR",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024810",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100695900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "ROTHKOPF",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Siegel, PHYSICIAN ASSISTANT
• Jana Shopkorn Siegel, MA, CCC SLP
• Janna Siegel, L.AC.
• Jill Siegel, PHD, LP
• Julia Siegel, LCSW
• Kenneth L. Siegel, D.D.S.
• Laura Michelle Siegel, MA, CCC-SLP, TSSLD
• Lauren Alice Siegel
• Lawrence Jay Siegel, M.D., M.P.H.
• Leah Linder Siegel, FNP-BC

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.