Active NPI
Jon David Siegel, LCSW
- Adult Development & Aging Psychologist
- Scottsdale, AZ
National Provider Identifier
1518984095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- License
- SW 0283I
- Practice address
- 4232 N Brown Ave
Suite 4
Scottsdale, AZ 85251-3996 - Phone
- (602) 993-7220
- Fax
- (602) 993-3200
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SW 0283I | AZ | |
| Adult Development & Aging Psychologist | 103TA0700X | SW 0283I | AZ | Primary |
| Clinical Social Worker | 1041C0700X | SW 0283I | AZ |
Addresses
Primary practice location
4232 N Brown Ave
Suite 4
Scottsdale, AZ 85251-3996
Mailing address
PO Box 82425
Phoenix, AZ 85071-2425
Phone (602) 993-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 0283I | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1518984095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82425",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850712425",
"telephone_number": "602-993-7220",
"fax_number": "602-993-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4232 N BROWN AVE",
"address_2": "SUITE 4",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513996",
"telephone_number": "602-993-7220",
"fax_number": "602-993-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "SW 0283I",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "AZ",
"license": "SW 0283I",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "SW 0283I",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.