Jason A Seidel, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2511 Issued in CO

Practice address

8000 E Prentice Ave Ste D12
Greenwood Village, CO 80111-2759

Phone

(303) 547-3700

NPI assigned

Apr 1, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason a. Seidel, Psy.D. P.C.

  • Clinical Psychologist
  • Denver, CO
  • NPI 1093819567
  NPD (past) Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1396323085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224333",
            "telephone_number": "303-547-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE STE D12",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112759",
            "telephone_number": "303-547-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Sederberg, MD
• Taylor Alicia Sederberg
• Brigitte B Segal, DDS
• Ashley Elizabeth Segovia
• Stephen Michael Seibert, MD
• Jodi Ellen Seidel, MA, LPC
• Phillip Scott Selders
• Select Home Care
• Tyra Sellers
• Sarah Senst, MSC,MCFT

• Clinical Psychologist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.