Individual provider Active NPI

Stacy Lynn Siegel, M.D.

  • Psychiatry Physician
  • Homewood, AL
National Provider Identifier
1447239868
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00020740 Issued in AL
Practice address
3415 Independence Dr
Suite 101
Homewood, AL 35209-8314
Phone
(205) 937-3979
Fax
(205) 871-4646
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00020740 AL Primary

Addresses

Primary practice location

3415 Independence Dr
Suite 101
Homewood, AL 35209-8314

Mailing address

3415 Independence Dr
Suite 101
Homewood, AL 35209-8314
Phone (205) 937-3979

Other identifiers 1

IdentifierTypeStateIssuer
51523533OtherALBLUE CROSS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020740ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shehi Medical, LLC Psychiatry PastSince Jun 6, 2021 Accepting new patients
Stacy L. Siegel, MD, LLC Psychiatry PastSince Dec 1, 2011 Accepting new patients
Central Alabama Psychiatry, LLC PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1447239868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 INDEPENDENCE DR",
            "address_2": "SUITE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352098314",
            "telephone_number": "205-937-3979",
            "fax_number": "833-310-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 INDEPENDENCE DR",
            "address_2": "SUITE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352098314",
            "telephone_number": "205-937-3979",
            "fax_number": "205-871-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00020740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51523533",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.