Amelia Beth Siders, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012929 Issued in MI

Practice address

537 S Garfield Ave Ste B
Traverse City, MI 49686-3484

Phone

(231) 946-0299

NPI assigned

Mar 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight Behavioral Wellness of Northern Michigan LLC

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1942790894
  NPD (past)
• Management & Behavior Consultants, P. C.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1306071071
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568594083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WATER WATCH LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496861620",
            "telephone_number": "231-392-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 S GARFIELD AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863484",
            "telephone_number": "231-946-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERS",
        "first_name": "AMELIA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Shuler, OTR/L
• Courtney Shulick
• Sergei Shumaster
• Sic of Michigan, PC (Centers at SIC)
• Shari Siddall, COTA/L-CLT
• Alisa Siebenmorgan
• Amira Sieber
• Kristine A Siemer, OTR/L, CHT
• Robert F Sigworth, M.D.
• Breanne Sika

• Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.