Active NPI
Beth Doranne Siek, PSY.D.
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1265581607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0005435
- Practice address
- 12108 N 56TH St
Suite F
Tampa, FL 33617-1686 - Phone
- (813) 988-6557
- Fax
- (813) 931-1683
- NPI assigned
- Jan 8, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0005435 | FL | Primary |
Addresses
Primary practice location
12108 N 56TH St
Suite F
Tampa, FL 33617-1686
Mailing address
12108 N 56TH St
Suite F
Tampa, FL 33617-1686
Phone (813) 988-6557
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0005435 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1265581607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12108 N 56TH ST",
"address_2": "SUITE F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171686",
"telephone_number": "813-988-6557",
"fax_number": "813-931-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12108 N 56TH ST",
"address_2": "SUITE F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171686",
"telephone_number": "813-988-6557",
"fax_number": "813-931-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEK",
"first_name": "BETH",
"middle_name": "DORANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0005435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.