Individual provider Active NPI

Alan P Siegal, MD

  • Psychiatry Physician
  • Hamden, CT
National Provider Identifier
1952319139
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
022695 Issued in CT
Practice address
60 Washington Avenue
Suite 203 Geriatric and Adult Psychiatry LLC
Hamden, CT 06518-3272
Phone
(203) 288-0414
Fax
(203) 288-3655
NPI assigned
Aug 4, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 022695 CT Primary
Geriatric Psychiatry Physician 2084P0805X 022695 CT

Addresses

Primary practice location

60 Washington Avenue
Suite 203 Geriatric and Adult Psychiatry LLC
Hamden, CT 06518-3272

Mailing address

60 Washington Avenue
Suite 203 Geriatric and Adult Psychiatry LLC
Hamden, CT 06518-3272
Phone (203) 288-0414

Other identifiers 1

IdentifierTypeStateIssuer
001226952MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000444 CT Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 1456382001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Psychiatry
Education
University of Louisville School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geriatric and Adult Psychiatry, LLCGroup PAC ID 4486648946, 2 clinicians

Practice addresses (Care Compare)

60 Washington Ave
Suite 203
Hamden, CT 06518-3272
Phone (203) 288-0414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022695CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric and Adult Psychiatry, LLC CurrentSince Nov 19, 1993 Accepting new patients
Geriatric and Adult Psychiatry, LLC PastSince Nov 19, 1993 Accepting new patients

Locations

60 Washington Ave
Ste 203
Hamden, CT 06518
Phone (203) 288-0414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1952319139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WASHINGTON AVENUE",
            "address_2": "SUITE 203 GERIATRIC AND ADULT PSYCHIATRY LLC",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183272",
            "telephone_number": "203-288-0414",
            "fax_number": "203-288-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WASHINGTON AVENUE",
            "address_2": "SUITE 203 GERIATRIC AND ADULT PSYCHIATRY LLC",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183272",
            "telephone_number": "203-288-0414",
            "fax_number": "203-288-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGAL",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "022695",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CT",
            "license": "022695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001226952",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.