Talia Rose Seider, PHD, ABPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

31770 Issued in CA

Practice address

29122 Rancho Viejo Rd Ste 102G
San Juan Capistrano, CA 92675-1019

Phone

(858) 693-3113

Fax

(858) 312-8460

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

No

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 CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Joanne M. Hamilton Psychologist a Professional Corporation

  • Clinical Neuropsychologist
  • San Diego, CA
  • NPI 1144428467
  Medicare reassignment NPD
• San Diego Brainworks Psychology & Neuropsychology Services

  • Psychologist
  • San Diego, CA
  • NPI 1427458710
  Medicare reassignment

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1366061707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29122 RANCHO VIEJO RD STE 102G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751019",
            "telephone_number": "858-693-3113",
            "fax_number": "858-312-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29122 RANCHO VIEJO RD STE 102G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751019",
            "telephone_number": "858-693-3113",
            "fax_number": "858-312-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDER",
        "first_name": "TALIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "31770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Finn Schulman, RDN
• Chelsea Lynn Schult, FNP-C
• Jill Lauren Scolnick, D.O.
• Samira Sadoughi Sedehi, DMD
• Hayley Sue Sedell, PT
• Cassandra Caitlin Seidler, LCSW
• Lana K Selecman, SLP
• Serene Behavioral Health, LLC
• Serene Behavioral Health, LLC
• Sandy Serna, MD

• Clinical Neuropsychologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.