Todd Michael Sigler, PSY.D., LP, NCC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4505 Issued in MN

Practice address

1935 County Road B2 W Ste 270
Roseville, MN 55113-2785

Phone

(651) 481-0664

Fax

(612) 392-0400

NPI assigned

May 24, 2005

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diverse Assessments and Treatment, LLC

  • Psychologist
  • Roseville, MN
  • NPI 1902370505
  Authorized official Same address or phone
• Birbilis and Associates, P.a.

  • Social Worker
  • Maplewood, MN
  • NPI 1275667511

  Psychologist

  NPD (past)
• Bohn Counseling Associates, Inc,

  • Clinical Psychologist
  • Mahtomedi, MN
  • NPI 1881876050
  NPD (past)
• Outreach Counseling & Consulting Services, Inc.

  • Professional Counselor
  • Shoreview, MN
  • NPI 1295890192

  Clinical

  NPD (past)
• Supportive Journeys Psychotherapy, LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1629404074
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1295738029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 270",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132785",
            "telephone_number": "651-481-0664",
            "fax_number": "612-392-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 270",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132785",
            "telephone_number": "651-481-0664",
            "fax_number": "612-392-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGLER",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2001032011",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "88344",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP4505",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4505",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4505",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MN",
            "license": "LP4505",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701153900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sneha Shukla, MD
• Fareed Siddiqui
• Maria Karim Siddiqui
• Sifu Health LLC
• Desiree Sigecan
• Daniel Signorelli, PA-C
• Barbara Jean Simon
• Tamara Lynn Simons, DDS
• Bonnie Singh, RPT
• Sisters Assistant Living Care LLC

• Clinical Psychologist in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.