Active NPI
Jedidiah Siev, PH.D.
- Clinical Psychologist
- Bryn Mawr, PA
National Provider Identifier
1174784177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018496
- Practice address
- 940 E Haverford Rd Ste 301
Bryn Mawr, PA 19010-3859 - Phone
- (610) 328-8418
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 8582 | FL | |
| Clinical Psychologist | 103TC0700X | PS018496 | PA | Primary |
Addresses
Primary practice location
940 E Haverford Rd Ste 301
Bryn Mawr, PA 19010-3859
Mailing address
339 Merion Rd
Merion Station, PA 19066
Phone (267) 241-4344
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY 8582 | FL | MD | Clinical Psychologist |
| PS018496 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1174784177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 MERION RD",
"city": "MERION STATION",
"state": "PA",
"postal_code": "19066",
"telephone_number": "267-241-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E HAVERFORD RD STE 301",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103859",
"telephone_number": "610-328-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEV",
"first_name": "JEDIDIAH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8582",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.