Kenneth A Siegel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

081000087 Issued in VA

Practice address

933 First Colonial Rd
#201
Virginia Beach, VA 23454-3172

Phone

(757) 422-9733

Fax

(757) 422-4078

NPI assigned

Oct 19, 2005

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Kenneth a Siegel, PH.D., PC

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1265608087
  Authorized official Same address or phone

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1649269937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "#201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-422-9733",
            "fax_number": "757-422-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "#201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-422-9733",
            "fax_number": "757-422-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "081000087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7714203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Sibiga, CFO
• Karen Elizabeth Sickenger, MD
• Kathryn Sidrow
• Gary Richard Siegel, M.D.
• Jack L Siegel, M.D.
• Jeremy Peter Siegrist, M.D.
• William Alvin Sievert
• Sherry Renee Sigafoos, LPC,LMFT,LSATP,CSAC
• Deanna Signor
• Signum Care

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.