Individual provider Active NPI

Bernard Seif, EDD, DNM

  • Clinical Psychologist
  • Brodheadsville, PA
National Provider Identifier
1205899200
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005430L Issued in PA
Practice address
420 Frantz Rd
Salesian Monastery
Brodheadsville, PA 18322-7722
Phone
(570) 992-3448
Fax
(570) 992-3448
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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 PS005430L PA Primary

Addresses

Primary practice location

420 Frantz Rd
Salesian Monastery
Brodheadsville, PA 18322-7722

Mailing address

420 Frantz Rd
Salesian Monastery
Brodheadsville, PA 18322-7722
Phone (570) 992-3448

Other identifiers 1

IdentifierTypeStateIssuer
411184270MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000087 PA Practitioner - Clinical Psychologist 1153518485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 Frantz Rd
Brodheadsville, PA 18322-7722
Phone (570) 992-3448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Salesian Monastic Community Clinical CurrentSince Aug 24, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bernardseif@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1205899200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FRANTZ RD",
            "address_2": "SALESIAN MONASTERY",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227722",
            "telephone_number": "570-992-3448",
            "fax_number": "570-992-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRANTZ RD",
            "address_2": "SALESIAN MONASTERY",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227722",
            "telephone_number": "570-992-3448",
            "fax_number": "570-992-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIF",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "EDD, DNM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005430L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411184270",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

Verify at the official NPI Registry.