Individual provider Active NPI

Sieg Hoppe, PH.D.

  • Clinical Psychologist
  • Muscatine, IA
National Provider Identifier
1104937424
Registry record updated Apr 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
838 Issued in IA
Practice address
801 Oregon St Ste 4
Muscatine, IA 52761-5723
Phone
(563) 263-0067
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 838 IA Primary

Addresses

Primary practice location

801 Oregon St Ste 4
Muscatine, IA 52761-5723

Mailing address

1213 E 2ND St
Muscatine, IA 52761-4809
Phone (563) 262-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000549 IA Practitioner - Clinical Psychologist 9436239506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Resources IncGroup PAC ID 5698841294, 4 clinicians

Practice addresses (Care Compare)

1414 W Lombard St
Davenport, IA 52804-2148
Phone (563) 445-0557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00838IAMDMental Health Counselor
838IAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Resources Inc CurrentSince Aug 1, 2008 Accepting new patients

Locations

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

801 Oregon St
Ste 4
Muscatine, IA 52761
Phone (563) 263-0067

119 Sycamore St
Ste 200
Muscatine, IA 52761
Phone (563) 263-0067

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1104937424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 E 2ND ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527614809",
            "telephone_number": "563-262-9226",
            "fax_number": "563-263-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OREGON ST STE 4",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615723",
            "telephone_number": "563-263-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPE",
        "first_name": "SIEG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.