Individual provider Active NPI

Andrew B. Sieff, A.P.N., B.C.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Fayetteville, AR
National Provider Identifier
1568414191
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
S01096 Issued in AR
Practice address
111 E Davidson St
Fayetteville, AR 72701-3413
Phone
(479) 871-2005
Fax
(479) 582-1085
NPI assigned
May 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X S01096 AR Primary

Addresses

Primary practice location

111 E Davidson St
Fayetteville, AR 72701-3413

Mailing address

11183 Black Oak Addition
Fayetteville, AR 72701-0787
Phone (479) 871-2005

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
S01096ARMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Counseling Services Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568414191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11183 BLACK OAK ADDITION",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010787",
            "telephone_number": "479-871-2005",
            "fax_number": "479-582-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E DAVIDSON ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013413",
            "telephone_number": "479-871-2005",
            "fax_number": "479-582-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFF",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "A.P.N., B.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "AR",
            "license": "S01096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.