Craig Sidol, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06918 Issued in MD

Practice address

6430 Rockledge Dr Ste 500
Bethesda, MD 20817-1886

Phone

(301) 562-8448

NPI assigned

Sep 25, 2017

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Oct 7, 2022 through Oct 7, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Chesapeake Psychological Services

  dba Chesapeake ADHD Center

  • Psychologist
  • Bethesda, MD
  • NPI 1063809549
  NPD

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1962911644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR STE 500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171886",
            "telephone_number": "301-562-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR STE 500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171886",
            "telephone_number": "301-562-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOL",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corley Ann Sibold
• Michael Carreon Sibulo, M.D.
• Maureen Siburt
• Micah Sickel, M.D., PH.D.
• Sophia Siddiqui, MD
• Ellen Sidransky, M.D.
• Roswitha Siebu-Baker, NP, RN
• Dawn Siegall
• Christine Siegel, APRN, ACNP
• Emily Jane Siegel, LMSW

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.

Verify at the official NPI Registry.