Ronald D Siegel, PSY.D.
Individual provider Active NPI Clinical Psychologist · Lincoln, MA
NPI 1366401069 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1366401069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3585 (MA)
- Practice address
- 20 Longmeadow Rd
Lincoln, MA 01773-4810 - Phone
- (781) 259-3434
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20 Long Meadow Rd
Lincoln, MA 01773-4810
Phone (781) 259-3434
20 Longmeadow Rd
Lincoln, MA 01773-4810
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120424000129 | MA | Practitioner - Clinical Psychologist | 2365604170 | Practice locations: Lincoln, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3585 | MA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3585 | MA | Yes |
Addresses
Primary practice location
20 Longmeadow Rd
Lincoln, MA 01773-4810
Mailing address
20 Longmeadow Rd
Lincoln, MA 01773-4810
Phone (781) 259-3434
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W03629 | Other | MA | BLUE SHIELD OF MASS. |
| 0514586 | Medicaid | MA |
Other providers in Lincoln, MA
- Annamaria Sanantonio
- Joann Becker Schrier
- Jessica Schwartz
- Steven Neil Shapse
- Mary W Sheldon
- Patricia Garrison Simmons
- Nicole Laura Solman
- Deborah Townsend Spragg
- William Burrowes Stason
- Robert Louis Steinbrook
All providers in Lincoln, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.