Jay Seigel

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

003815 Issued in CT

Practice address

24 Channing St
Second Floor
New London, CT 06320-5735

Phone

(203) 303-7387

Fax

(203) 303-7387

NPI assigned

Aug 4, 2008

Last updated

Mar 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

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.

• Bhcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ansonia, CT
  • NPI 1306042700
  Medicare reassignment NPD
• Jmstherapeutics

  • Psychiatry Physician
  • Madison, CT
  • NPI 1245724087
  NPD Authorized official
• Connecticut Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
  • NPI 1255572079
  Authorized official Same address or phone
• Sound Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1396700886
  NPD (past)
• Urologic Associates, PC

  • Urology Physician
  • New London, CT
  • NPI 1740362730
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1447416086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHANNING ST",
            "address_2": "SECOND FLOOR",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205735",
            "telephone_number": "203-303-7387",
            "fax_number": "203-303-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHANNING ST",
            "address_2": "SECOND FLOOR",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205735",
            "telephone_number": "203-303-7387",
            "fax_number": "203-303-7387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Ella T Grasso Blvd",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065195516",
            "country_code": "US",
            "telephone_number": "203-349-9400",
            "fax_number": "800-915-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIGEL",
        "first_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "3815",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Seddon, OTR/L
• Sabrina Seeram, ND
• Chrisanne Zeplin Seguin
• Dianne Elizabeth Seidell, APRN
• Adam Seidner, M.D.
• William Edward Sergiy III, RPH
• Aimee M Sevigny Krenicki, ATC, PES
• Lori Ann Sfakios, APRN
• Kelsey Leigh Shadick, PHARMD
• Andrea Shaker, MA

• Psychiatric/Mental Health Nurse Practitioner in New London, CT
• Providers in New London, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.