Individual provider Active NPI

Alvin Ronald Seifert, PHD

  • Psychologist
  • Blue Ridge, GA
National Provider Identifier
1689712119
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167
Phone
(706) 455-2490
Fax
(706) 946-6574
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167

Mailing address

9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167
Phone (706) 455-2490

Other practice location 1

9226 Bayshore Dr NW
Suite 150
Silverdale, WA 98383-9196
Phone (360) 698-1321

Other names 1

  • Dr. Alvin R Seifert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305002728 GA Practitioner - Clinical Psychologist 2264621283 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Capeside Psychiatry, PLLC CurrentSince Aug 7, 2022 Accepting new patients
Susan K Kauffman LMHC PLLC CurrentSince Aug 7, 2022 Accepting new patients

Locations

146 Depot St
Ste 202
Blue Ridge, GA 30513
Phone (941) 780-4192

146 Depot St
Ste 201
Blue Ridge, GA 30513
Phone (706) 502-9404

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1689712119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 BLUE RIDGE DR",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134167",
            "telephone_number": "706-455-2490",
            "fax_number": "706-946-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 BLUE RIDGE DR",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134167",
            "telephone_number": "706-455-2490",
            "fax_number": "706-946-6574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9226 Bayshore Dr NW",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983839196",
            "country_code": "US",
            "telephone_number": "360-698-1321",
            "fax_number": "360-308-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIFERT",
        "first_name": "ALVIN",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALVIN",
            "last_name": "SEIFERT",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.