Active NPI
Sieck Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brandon, SD
National Provider Identifier
1639884471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SIECK THERAPY
- Practice address
- 700 S 8TH Ave
Brandon, SD 57005-1772 - Phone
- (605) 582-4722
- Fax
- (605) 582-3197
- NPI assigned
- Jan 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Lee Sieck, LCSW
- Title
- Therapist
- Phone
- (605) 366-2515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
700 S 8TH Ave
Brandon, SD 57005-1772
Mailing address
700 S 8TH Ave
Brandon, SD 57005-1772
Phone (605) 582-4722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230222001251 | SD | Part B Supplier - Clinic/Group Practice | 2062885080 | Practice locations: Brandon, SD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Brandon, SD
- NPI 1528773520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1639884471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S 8TH AVE",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051772",
"telephone_number": "605-582-4722",
"fax_number": "605-582-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S 8TH AVE",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051772",
"telephone_number": "605-582-4722",
"fax_number": "605-582-3197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIECK THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "SIECK",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "605-366-2515",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.