Active NPI
Jill Ellen Siegelman, MFT
- Marriage & Family Therapist
- Cardiff, CA
National Provider Identifier
1245437300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 31464
- Practice address
- 2560 Ocean Cove Dr
Cardiff, CA 92007-2207 - Phone
- (760) 942-2226
- Fax
- (619) 528-6330
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 31464 | CA | Primary |
Addresses
Primary practice location
2560 Ocean Cove Dr
Cardiff, CA 92007-2207
Mailing address
2560 Ocean Cove Dr
Cardiff, CA 92007-2207
Phone (760) 942-2226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31464 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245437300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 OCEAN COVE DR",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920072207",
"telephone_number": "760-942-2226",
"fax_number": "619-528-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 OCEAN COVE DR",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920072207",
"telephone_number": "760-942-2226",
"fax_number": "619-528-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGELMAN",
"first_name": "JILL",
"middle_name": "ELLEN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "31464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cardiff, CA
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- David Shores, D.C.
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- Mariana Solis-Ibarra
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- Spiral Physical Therapy Inc. (Spiral Health)
- Stacy R Smith, MD Apc (California Dermatology & Clinical Research Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.