Individual provider Active NPI

Charles Seigerman, PH.D.

  • Clinical Neuropsychologist
  • Livonia, MI
National Provider Identifier
1245282581
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301005653 Issued in MI
Practice address
20006 Farmington Rd
Livonia, MI 48152-1408
Phone
(248) 477-9940
Fax
(248) 477-9941
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301005653 MI Primary

Addresses

Primary practice location

20006 Farmington Rd
Livonia, MI 48152-1408

Mailing address

5844 Kingsfield Dr
West Bloomfield, MI 48322-1461
Phone (248) 477-9940

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

LicenseStateTypeSpecialty
6301005653MIMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245282581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 KINGSFIELD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221461",
            "telephone_number": "248-477-9940",
            "fax_number": "248-477-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-477-9940",
            "fax_number": "248-477-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGERMAN",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301005653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.