Eric H Siiteri, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

278 Issued in WY

Practice address

111 S Jefferson St
Casper, WY 82601-2665

Phone

(970) 495-0707

Fax

(970) 495-6885

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Avenues Physical Therapy Inc PC

  • Physical Therapist
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  • NPI 1467559310
  NPD (past)
• Health Psychology Consultants

  • Clinical Psychologist
  • Fort Collins, CO
  • NPI 1558480137
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1235108994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805220955",
            "telephone_number": "970-495-0707",
            "fax_number": "970-495-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S JEFFERSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012665",
            "telephone_number": "970-495-0707",
            "fax_number": "970-495-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIITERI",
        "first_name": "ERIC",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1816",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118233101",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zully Soledad Shupe, LCSW
• Gregory Allen Shuttleworth, FNP
• Dede L Sievers
• Karlynn D. Sievers, MD
• Signature Dental LLC
• Juana Bascus Simental
• Labin Joseph Siplon, PSS
• Jana Kay Sisco, LPC
• Sheena Marie Siscoe, MSN, FNP-C
• Heidi Lee Sivers-O'Connell, RN

• Clinical Psychologist in Casper, WY
• Providers in Casper, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.