Active NPI
John P. Sidler, MS
- Cognitive & Behavioral Psychologist
- Coal Township, PA
National Provider Identifier
1992877831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PS-006954-L
- Practice address
- 1 Kelley Dr
Coal Township, PA 17866-1020 - Phone
- (570) 644-7890
- NPI assigned
- Nov 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS-006954-L | PA | Primary |
| Clinical Psychologist | 103TC0700X | PS-006954-L | PA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PS-006954-L | PA |
Addresses
Primary practice location
1 Kelley Dr
Coal Township, PA 17866-1020
Mailing address
54 Courtland Road
Shamokin Dam, PA 17876
Phone (570) 743-1059
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-006954-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1992877831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 COURTLAND ROAD",
"city": "SHAMOKIN DAM",
"state": "PA",
"postal_code": "17876",
"telephone_number": "570-743-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KELLEY DR",
"city": "COAL TOWNSHIP",
"state": "PA",
"postal_code": "178661020",
"telephone_number": "570-644-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDLER",
"first_name": "JOHN",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS-006954-L",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-006954-L",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "PA",
"license": "PS-006954-L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coal Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.