Individual provider Active NPI

Nicholas A Sieveking, PHD

  • Clinical Psychologist
  • Nashville, TN
National Provider Identifier
1134475668
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P176 Issued in TN
Practice address
102 Woodmont Blvd
Suite 530
Nashville, TN 37205-2287
Phone
(615) 426-4212
Fax
(615) 730-5790
NPI assigned
Aug 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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 P176 TN Primary

Addresses

Primary practice location

102 Woodmont Blvd
Suite 530
Nashville, TN 37205-2287

Mailing address

2216 Hillsboro Valley Rd
Brentwood, TN 37027-5412
Phone (615) 426-4212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P176TNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1134475668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 HILLSBORO VALLEY RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275412",
            "telephone_number": "615-426-4212",
            "fax_number": "615-730-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD",
            "address_2": "SUITE 530",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052287",
            "telephone_number": "615-426-4212",
            "fax_number": "615-730-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVEKING",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.