Sidney a. Kelt Jr., M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H1601 Issued in TX

Legal business name

SIDNEY A. KELT JR., M.D., P.A.

Practice address

3500 Oaklawn Ave
Ste 300
Dallas, TX 75219-4349

Phone

(972) 709-1961

NPI assigned

Nov 18, 2011

Last updated

Dec 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sidney Arthur Kelt Jr., M.D.NPI 1902855430

Title

President

Phone

(469) 766-7046

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sidney A Kelt Jr., M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1902855430
  Authorized official Same address or phone

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1316214364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAKLAWN AVE",
            "address_2": "STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194349",
            "telephone_number": "972-709-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAKLAWN AVE",
            "address_2": "STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194349",
            "telephone_number": "972-709-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY A. KELT JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "KELT",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-766-7046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113854702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaffin Siddiqui
• Sheema Siddiqui
• Zafreen A Siddiqui, MD
• Baljinder K. Sidhu, CRNA
• Harpreet Sidhu
• Ashley Sidney
• Sidog Ventures
• Siebel Diagnostic Laboratories
• Marsha Siebenmorgen, PHD, LP
• Marianne Siebert, PA-C

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.