Douglas M Siegel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2983 Issued in MA

Practice address

350 Washington St
Wellesley Hills, MA 02481-6211

Phone

(781) 235-2052

Fax

(781) 235-8664

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760557045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WAYLAND HILLS RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783810",
            "telephone_number": "508-545-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WASHINGTON ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816211",
            "telephone_number": "781-235-2052",
            "fax_number": "781-235-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Elias Schwartz, MD
• Shimon Segal, M.D.
• Catherine Seldin, PSY.D., M.ED.
• David M Shein, M.D.
• Lindsey Sherer, LCSW
• Ronee Ann Skornik, MD
• Juris Slesers, MD
• James M Snider, MD
• Leonard Joel Sommer, PH.D.
• Deanna Blaustein Spielberg, ED.D.

• Clinical Psychologist in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.