Organization Active NPI

Siegel & Taban, P.a.

  • Psychologist
  • Miami, FL
National Provider Identifier
1306163605
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7796 Issued in FL
Legal business name
SIEGEL & TABAN, P.A.
Practice address
4045 Sheridan Ave
Suite 241
Miami, FL 33140-3665
Phone
(305) 919-1817
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Yaakov Siegel, PSY.D.
Title
President
Phone
(786) 390-0735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY7796 FL Primary

Addresses

Primary practice location

4045 Sheridan Ave
Suite 241
Miami, FL 33140-3665

Mailing address

4045 Sheridan Ave
Suite 241
Miami, FL 33140-3665
Phone (305) 919-1817

National Provider Directory

National Provider Directory

Locations

4045 Sheridan Ave
Miami Beach, FL 33140
Phone (305) 397-8255

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1306163605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SHERIDAN AVE",
            "address_2": "SUITE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403665",
            "telephone_number": "305-919-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 SHERIDAN AVE",
            "address_2": "SUITE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403665",
            "telephone_number": "305-919-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGEL & TABAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "YAAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-390-0735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.