Individual provider Active NPI

Savinien Siewe, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1124719380
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1194536 Issued in TX
Practice address
809 S W S Young Dr
Killeen, TX 76543-4801
Phone
(254) 226-3090
Fax
(888) 595-2540
NPI assigned
May 18, 2023
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1194536 TX Primary

Addresses

Primary practice location

809 S W S Young Dr
Killeen, TX 76543-4801

Mailing address

21873 Woodcock Way
Clarksburg, MD 20871-9527
Phone (301) 404-1751

Other practice location 1

2001 Claflin Rd
Manhattan, KS 66502-3415
Phone (785) 587-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, KS, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20231031001962 DC Practitioner - Nurse Practitioner 0941656748 Reassigns benefits to 1 organization
I20231031002247 MD Practitioner - Nurse Practitioner 0941656748 Reassigns benefits to 1 organization
I20240208002814 KS Practitioner - Nurse Practitioner 0941656748 Reassigns benefits to 1 organization
I20250513003415 TX Practitioner - Nurse Practitioner 0941656748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Behavioral Health - Killeen PLLCGroup PAC ID 3173050440, 9 clinicians

Practice addresses (Care Compare)

809 S W S Young Dr
Killeen, TX 76543-4801
Phone (254) 226-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Oct 15, 2023 Accepting new patients
Freedom Behavioral Health - Killeen PLLC Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 28, 2025 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

1558 Hayes Dr
Manhattan, KS 66502
Phone (785) 587-4315

2001 Claflin Rd
Manhattan, KS 66502

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

809 S W S Young Dr
Killeen, TX 76543
Phone (254) 226-3090

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1124719380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21873 WOODCOCK WAY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719527",
            "telephone_number": "301-404-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S W S YOUNG DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434801",
            "telephone_number": "254-226-3090",
            "fax_number": "888-595-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Claflin Rd",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023415",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEWE",
        "first_name": "SAVINIEN",
        "name_prefix": "Mr.",
        "credential": "PMHNP - BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1194536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.