Carrie R Cichocki Siegwarth, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP-10530 Issued in OH

Practice address

9500 Euclid Ave # P57
Cleveland, OH 44195-5612

Phone

(216) 444-0102

Fax

(216) 636-1863

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Carrie R Cichocki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ccichockisiegwarth82684@direct.ccf.org

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.

• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• St. Joseph Health Services of Rhode Island

  • Psychiatry Physician
  • North Providence, RI
  • NPI 1326122557
  NPD (past)
• St. Joseph Health Services of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1356478002
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1457446429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74953",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441941036",
            "telephone_number": "216-671-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # P57",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441955612",
            "telephone_number": "216-444-0102",
            "fax_number": "216-636-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHOCKI SIEGWARTH",
        "first_name": "CARRIE",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN290702/PNS00030",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN40515/NPP37250",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN25645",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "NS-10529",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP-10530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6289177",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "CICHOCKI",
            "middle_name": "R",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Ciccarello, LSW
• Angela Ciccia, PH.D., CCC-SLP
• Joseph C Cicenia III, MD
• Colleen Grace Cicero, LISW
• Kimberly Rae Cicero, OTR/L
• Laura Cicigoi, CRNA
• Morgann Ciecierski
• Jay P. Ciezki, MD
• Patricia A Cigetich, CNP
• Heather Cigoi

• Psychiatric/Mental Health Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.