Individual provider Active NPI

David Siegman, PSYD

  • Psychologist
  • Highland Park, NJ
National Provider Identifier
1306926589
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00198200 Issued in NJ
Practice address
47 Raritan Ave
Second Floor
Highland Park, NJ 08904-2440
Phone
(732) 545-8766
NPI assigned
Oct 16, 2006
Last updated
Dec 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00198200 NJ Primary

Addresses

Primary practice location

47 Raritan Ave
Second Floor
Highland Park, NJ 08904-2440

Mailing address

47 Raritan Ave
Second Floor
Highland Park, NJ 08904-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00198200NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1306926589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 RARITAN AVE",
            "address_2": "SECOND FLOOR",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 RARITAN AVE",
            "address_2": "SECOND FLOOR",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042440",
            "telephone_number": "732-545-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGMAN",
        "first_name": "DAVID",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00198200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.