Active NPI
Howard B. Siegel, PH.D.
- Clinical Psychologist
- Jersey City, NJ
National Provider Identifier
1871517029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2771
- Practice address
- 7 Kensington Ave
Jersey City, NJ 07304-5023 - Phone
- (212) 673-2256
- Fax
- (201) 333-9322
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 003597-1 | NY | |
| Clinical Psychologist | 103TC0700X | 2771 | NJ | Primary |
Addresses
Primary practice location
7 Kensington Ave
Jersey City, NJ 07304-5023
Mailing address
7 Kensington Ave
Jersey City, NJ 07304-5023
Phone (212) 673-2256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003597-1 | Other | NY | NEW YORK LICENSE NO. |
| 2771 | Other | NJ | LICENSE NO. |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2771 | NJ | MD | Clinical Psychologist |
| 003597-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871517029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 KENSINGTON AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073045023",
"telephone_number": "212-673-2256",
"fax_number": "201-333-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 KENSINGTON AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073045023",
"telephone_number": "212-673-2256",
"fax_number": "201-333-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "HOWARD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "003597-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "2771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE NO.",
"identifier": "003597-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "2771",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- 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.