Judi L. Siebold, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F403429-01 Issued in NY

Practice address

370 Violet Ave
Poughkeepsie, NY 12601-1034

Phone

(845) 471-1807

Fax

(845) 471-1815

NPI assigned

Apr 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Riverview Psychiatric Medicine, PCGroup PAC ID 6901395342, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Riverview Psychiatric Medicine PC

  • Adult Mental Health Clinic/Center
  • Poughkeepsie, NY
  • NPI 1174789812
  Medicare reassignment Care Compare group NPD
• Rabi R Sinha Physician P.C.

  • Internal Medicine Physician
  • Hopewell Junction, NY
  • NPI 1689802084
  Medicare reassignment NPD
• TMS Medical of the Hudson Valley PC

  • Psychiatry Physician
  • Poughkeepsie, NY
  • NPI 1255911582
  Medicare reassignment NPD
• Riverview Psychiatric Medicine, PC

  • Psychiatry Physician
  • Poughkeepsie, NY
  • NPI 1881005460
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1710307343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HORSESHOE RD",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456029",
            "telephone_number": "845-240-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBOLD",
        "first_name": "JUDI",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "382232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403429-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kren K Shriver, MD
• Robin Joanna Shutinya, LCSW
• Judith Ellena Grosso Sickles, CPNP-PC, RN
• Latifa K Siddiqua, MD
• Muhammad Ali Siddiqui, M.D.
• Audra Rochelle Siegel, DPM
• Caroline Jane Siegrist, RN
• Virginia Siegrist
• John Sieverding, MD
• Lori W Siktberg, MSW

• Psychiatric/Mental Health Nurse Practitioner in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.