Organization Active NPI

Alex M. Siegel, J.D.,PH.D., LLC

  • Clinical Psychologist
  • Penn Valley, PA
National Provider Identifier
1730423823
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-005568-L Issued in PA
Legal business name
ALEX M. SIEGEL, J.D.,PH.D., LLC
Practice address
915 Montgomery Ave
Suite 210
Penn Valley, PA 19072-1548
Phone
(610) 668-4240
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Alex M. Siegel, J.D, PH.DNPI 1396967378
Title
Psychologist
Phone
(610) 668-4240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-005568-L PA Primary

Addresses

Primary practice location

915 Montgomery Ave
Suite 210
Penn Valley, PA 19072-1548

Mailing address

915 Montgomery Ave
Suite 210
Penn Valley, PA 19072-1548
Phone (610) 668-4240

National Provider Directory

National Provider Directory

Locations

915 Montgomery Ave
Ste 210
Penn Valley, PA 19072
Phone (610) 667-9830

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1730423823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MONTGOMERY AVE",
            "address_2": "SUITE 210",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721548",
            "telephone_number": "610-668-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MONTGOMERY AVE",
            "address_2": "SUITE 210",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721548",
            "telephone_number": "610-668-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX M. SIEGEL, J.D.,PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-668-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "J.D, PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-005568-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.