Michelle Simone Saidel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

160049 Issued in CA

Practice address

41820 Garstin Dr.
Big Bear Lake, CA 92315

Phone

(909) 866-6501

NPI assigned

Jul 30, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Silvia R. Von Sacken, PLLC

  • Clinical Social Worker
  • Hampstead, NH
  • NPI 1780865105
  NPD (past)

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

{
    "created_epoch": "1122681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1528068517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MARY E CLARK DR",
            "address_2": "UNIT # 3",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412288",
            "telephone_number": "603-329-5694",
            "fax_number": "603-329-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41820 GARSTIN DR.",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Mary E Clark Dr",
            "address_2": "Unit # 3",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NH",
            "postal_code": "038412288",
            "country_code": "US",
            "telephone_number": "603-329-5694",
            "fax_number": "603-329-5197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIDEL",
        "first_name": "MICHELLE",
        "middle_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-30",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "10738",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "160049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Adilene Rodriguez Pacheco
• Maria Guadalupe Rodriguez Pacheco
• Timothy Joseph Ross, EAMP, L.AC.
• Edward Phillip Rowe, MFT INTERN
• Jessica Marian Rule, PA-C
• Heather Salzer-Devito, P.T., ATC, CSCS
• San Bernardino County Superintendent of Schools
• Tonya R. Schour, LMFT
• Select CS Physical Therapy, P.C.
• Bonnie Shaffer

• Psychiatry Physician in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.