Active NPI
Steven L Siler, MFT
- Marriage & Family Therapist
- Mendocino, CA
National Provider Identifier
1124348883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC33184
- Practice address
- 45121 Ukiah St
Suite C
Mendocino, CA 95460 - Phone
- (707) 937-1316
- NPI assigned
- Jun 4, 2010
- Last updated
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC33184 | CA | Primary |
Addresses
Primary practice location
45121 Ukiah St
Suite C
Mendocino, CA 95460
Mailing address
PO Box 1326
Mendocino, CA 95460-1326
Phone (800) 761-9344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT331840 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 17, 2024 through Jan 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33184 | CA | MD | Clinical Psychologist |
| MFC33184 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1124348883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1326",
"city": "MENDOCINO",
"state": "CA",
"postal_code": "954601326",
"telephone_number": "800-761-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45121 UKIAH ST",
"address_2": "SUITE C",
"city": "MENDOCINO",
"state": "CA",
"postal_code": "95460",
"telephone_number": "707-937-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILER",
"first_name": "STEVEN",
"middle_name": "L",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC33184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "MFT331840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mendocino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.