Beth M Seidel, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2504 Issued in GA

Practice address

6000 Lake Forrest Dr
Suite 103
Atlanta, GA 30328

Phone

(404) 256-9325

Fax

(404) 256-3662

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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

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.

• Behavioral Institute of Atlanta LLC

  • Psychologist
  • Atlanta, GA
  • NPI 1619173622
  NPD (past) Authorized official
• Caroline L Sherrill PHD PC

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
  • NPI 1700087541
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578764320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAKE FORREST DR",
            "address_2": "SUITE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-9325",
            "fax_number": "404-256-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAKE FORREST DR",
            "address_2": "SUITE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-9325",
            "fax_number": "404-256-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakshi Sehgal
• Amissa Umu-Hawa Sei, MD
• Erin Elizabeth Beasley Seibel, GC
• Talitha C Seibel, CLD (ALACE)
• Ekram Mohammed Seid
• H David Seidel, MD
• Rebecca L. Seidel, MD
• Lawrence G Seiden, M.D.
• Kristin Marie Seidler, MD
• Luqman Seidu, M.D.

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• 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.