Individual provider Active NPI

Dina Siegel

  • Psychologist
  • New York, NY
National Provider Identifier
1265154207
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024466 Issued in NY
Practice address
729 W 186TH St Apt 2H
New York, NY 10033-8506
Phone
(301) 928-0488
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024466 NY Primary

Addresses

Primary practice location

729 W 186TH St Apt 2H
New York, NY 10033-8506

Mailing address

729 W 186TH St Apt 2H
New York, NY 10033-8506
Phone (301) 928-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 13, 2026 through Jul 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024466NYMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: dina.siegel@361010828083204.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1265154207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W 186TH ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100338506",
            "telephone_number": "301-928-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W 186TH ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100338506",
            "telephone_number": "301-928-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "DINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.