NPIMap

Organization Active NPI

Siebert Psychotherapy Services

  • Community/Behavioral Health Agency
  • Southfield, MI
National Provider Identifier
1235774514
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIEBERT PSYCHOTHERAPY SERVICES
Practice address
29501 Greenfield Rd Ste 132
Southfield, MI 48076-2250
Phone
(248) 469-8141
NPI assigned
Nov 11, 2019
Last updated
Nov 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Rolisia L Siebert, MA LPCNPI 1629217666
Title
Owner/Lead Therapist
Phone
(248) 207-9242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

29501 Greenfield Rd Ste 132
Southfield, MI 48076-2250

Mailing address

32485 Leona St
Garden City, MI 48135-1227
Phone (248) 207-9242

Other names 1

  • Siebert Psychotherapy Services Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PrimaryOffice

National Provider Directory

National Provider Directory

Locations

29501 Greenfield Rd
Ste 132
Southfield, MI 48076
Phone (248) 207-9242

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1235774514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32485 LEONA ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351227",
            "telephone_number": "248-207-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29501 GREENFIELD RD STE 132",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762250",
            "telephone_number": "248-469-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEBERT PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "ROLISIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "248-207-9242",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PrimaryOffice",
            "affiliation": "N",
            "address_1": "29501 Greenfield Rd Ste 132",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480762250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Siebert Psychotherapy Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southfield, MI

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.

Verify at the official NPI Registry.