Active NPI
Siddhi J Patel, PSY.D.
- Psychologist
- Clifton, NJ
National Provider Identifier
1780010819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 124 Rock Hill Rd
Clifton, NJ 07013-2328 - Phone
- (862) 703-8647
- NPI assigned
- Sep 20, 2013
- Last updated
- Nov 28, 2016
- Sex
- Female
- Sole proprietor
- No
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
124 Rock Hill Rd
Clifton, NJ 07013-2328
Mailing address
124 Rock Hill Rd
Clifton, NJ 07013-2328
Phone (862) 703-8647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 24, 2025 through May 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1780010819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 ROCK HILL RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132328",
"telephone_number": "862-703-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 ROCK HILL RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132328",
"telephone_number": "862-703-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SIDDHI",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.