NPIMap

Organization Active NPI

Siebert Psychological Services PLLC

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1942952726
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIEBERT PSYCHOLOGICAL SERVICES PLLC
Practice address
9701 Brodie LN Ste 205
Austin, TX 78748-6284
Phone
(281) 636-0451
NPI assigned
Jan 22, 2022
Last updated
Jan 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Authorized official

Name
Dr. Melissa Siebert, PSYDNPI 1548778236
Title
Psychologist
Phone
(281) 636-0451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

9701 Brodie LN Ste 205
Austin, TX 78748-6284

Mailing address

9701 Brodie LN Ste 205
Austin, TX 78748-6284
Phone (281) 636-0451

Other identifiers 1

IdentifierTypeStateIssuer
1548778236MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Drsiebert@levypsych.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

9701 Brodie Ln
Ste 205
Austin, TX 78748
Phone (281) 636-0451

Interoperability endpoints

  • Direct secure messaging: drsiebert@levypsych.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1942952726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486284",
            "telephone_number": "281-636-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486284",
            "telephone_number": "281-636-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEBERT PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "281-636-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548778236",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drsiebert@levypsych.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9701 Brodie Ln Ste 205",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787486284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.