Sheri Michelle Siegel, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1587 Issued in GA

Practice address

145 Church St NE Ste 295
Marietta, GA 30060-1608

Phone

(770) 428-7395

Fax

(770) 428-1964

NPI assigned

Jan 19, 2007

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Connie D. Hill, PH.D.

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1760602700
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1447303524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CHURCH ST NE STE 295",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601608",
            "telephone_number": "770-428-7395",
            "fax_number": "770-428-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CHURCH ST NE STE 295",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601608",
            "telephone_number": "770-428-7395",
            "fax_number": "770-428-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SHERI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493655B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reaz Siddiqui, M.D.
• Sarah Siddiqui, MS, LCGC
• Sherlyne Sidney, PT
• Jordan Leslie Siegall, CCC-SLP
• Burton Everett Siegel, M.D.
• Luke Alexander Bradford Siegmann, PT, DPT, OCS
• Signature Healthcare LLC
• Stan J. Sikorski, LPC
• Silasmasih in-Home Therapy Services,LLC
• Martin L Silbiger, MD

• Counseling Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.