Active NPI
Judith H. Siegel, PH.D, MFT(INACTIVE
- Psychologist
- Campbell, CA
National Provider Identifier
1578781183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11277
- Practice address
- 51 E Campbell Ave
Suite 170
Campbell, CA 95008-2047 - Phone
- (408) 370-6156
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY11277 | CA | Primary |
Addresses
Primary practice location
51 E Campbell Ave
Suite 170
Campbell, CA 95008-2047
Mailing address
51 E Campbell Ave
Suite 170
Campbell, CA 95008-2047
Phone (408) 370-6156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 4, 2012 through Dec 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11277 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1578781183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 E CAMPBELL AVE",
"address_2": "SUITE 170",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082047",
"telephone_number": "408-370-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E CAMPBELL AVE",
"address_2": "SUITE 170",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082047",
"telephone_number": "408-370-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JUDITH",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "PH.D, MFT(INACTIVE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.