Andrew Seidman, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

100 N 72ND Ave # 207
Wausau, WI 54401-9042

Phone

(715) 301-0277

NPI assigned

Jun 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• Tall Pines Behavioral Health LLC

  • Health Service Psychologist
  • Wausau, WI
  • NPI 1215519764
  Medicare reassignment

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1366012494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 MINTWOOD ST APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011222",
            "telephone_number": "973-809-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 72ND AVE # 207",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019042",
            "telephone_number": "715-301-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhea Thalia Schweigert, M.S.
• Scott D. Bautch D C S C
• Hilary P Scully, MD
• Wanda Lee Seefeldt, RDH
• William Seidl, PA
• Barbara V Seiser, FNP,-BC, PMHCNS-BC
• Sekara LLC
• Suzanne K. Selle, M.A., CCC-SLP
• Sharon-Diane Wesslund Semling, PT
• Gregory K Sewall, MD

• Counseling Psychologist in Wausau, WI
• Providers in Wausau, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.