Organization Active NPI

Integrative Sleep Wake Health, PLLC

  • Sleep Specialist (PhD)
  • Fuquay Varina, NC
National Provider Identifier
1649712399
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
INTEGRATIVE SLEEP WAKE HEALTH, PLLC
Practice address
602 E Academy St Ste 105
Fuquay Varina, NC 27526-2382
Phone
(919) 624-9863
NPI assigned
Nov 12, 2016
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Dr. Allison T. Siebern, PHD, DAC, LAC, CBSMNPI 1194049486
Title
Clinic Director
Phone
(919) 624-9863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X
Acupuncturist 171100000X
Sleep Specialist (PhD) 173F00000X Primary

Addresses

Primary practice location

602 E Academy St Ste 105
Fuquay Varina, NC 27526-2382

Mailing address

1441 E Broad St Ste 81
Fuquay Varina, NC 27526-1968
Phone (919) 624-9863

Other practice location 1

114 Depot St
Fuquay Varina, NC 27526-2107
Phone (919) 624-9863

National Provider Directory

National Provider Directory

Locations

114 Depot St
Fuquay Varina, NC 27526
Phone (919) 624-9863

602 E Academy St
Ste 105
Fuquay Varina, NC 27526
Phone (919) 414-7712

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1649712399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E BROAD ST STE 81",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261968",
            "telephone_number": "919-624-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E ACADEMY ST STE 105",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262382",
            "telephone_number": "919-624-9863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Depot St",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275262107",
            "country_code": "US",
            "telephone_number": "919-624-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE SLEEP WAKE HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-12",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "SIEBERN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "919-624-9863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DAC, LAC, CBSM"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.