Individual provider Active NPI

Anke Seidel, PHD

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1770909368
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 8988 Issued in FL
Practice address
4121 NW 5TH St
Suite 207
Plantation, FL 33317-2120
Phone
(954) 583-4568
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 8988 FL Primary

Addresses

Primary practice location

4121 NW 5TH St
Suite 207
Plantation, FL 33317-2120

Mailing address

4121 NW 5TH St
Suite 207
Plantation, FL 33317-2120
Phone (954) 583-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 8988FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions Psychological Services, P.a. Past Accepting new patients
Positive Solutions Psychological Services, PLLC Clinical PastSince Aug 1, 2011 Accepting new patients

Organizations & group practices 2

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1770909368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 NW 5TH ST",
            "address_2": "SUITE 207",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172120",
            "telephone_number": "954-583-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 NW 5TH ST",
            "address_2": "SUITE 207",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172120",
            "telephone_number": "954-583-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "ANKE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.