Active NPI
Carl Siegel, PHD
- Psychologist
- Washington DC, DC
National Provider Identifier
1184869604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1649
- Practice address
- 7003 Piney Branch Rd. NW
Washington DC, DC 20012 - Phone
- (202) 449-3789
- Fax
- (202) 449-3789
- NPI assigned
- Dec 12, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1649 | DC | Primary |
Addresses
Primary practice location
7003 Piney Branch Rd. NW
Washington DC, DC 20012
Mailing address
7003 Piney Branch Rd. NW
Washington DC, DC 20012
Phone (202) 449-3789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1649 | DC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imago Center Washington DC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Washington, DC
- NPI 1508218199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1184869604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7003 PINEY BRANCH RD. NW",
"city": "WASHINGTON DC",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-449-3789",
"fax_number": "202-449-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 PINEY BRANCH RD. NW",
"city": "WASHINGTON DC",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-449-3789",
"fax_number": "202-449-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "CARL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "1649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington DC, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.