Active NPI
Alvin Ronald Seifert, PHD
- Psychologist
- Blue Ridge, GA
National Provider Identifier
1689712119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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 | 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capeside Psychiatry, PLLC | Current | Accepting new patients | |
| Susan K Kauffman LMHC PLLC | Current | 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.
-
- Clinical Psychologist
- Blue Ridge, GA
- NPI 1346521481
-
- Psychologist
- Blue Ridge, GA
- NPI 1508155029
-
- Psychiatry Physician
- Wilmington, NC
- NPI 1760891980
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.