KELSEY SIEGEL


Address: 225 Broadway, Suite 2713, New York, NY 10007
Phone: 3475095663

KELSEY SIEGEL (NPI# 1669829388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669829388
Entity Type Individual
Full Name KELSEY SIEGEL
Credential LMHC; LPC
Practice Address 225 Broadway
Suite 2713
New York
NY 10007
Mailing Address 20 Malcolm Way
Lincroft
NJ 07738-1556
Practice Telephone 3475095663
Mailing Telephone 9143165424
Enumeration Date 2016-05-23
Last Update Date 2018-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 37PC00609100 NJ Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
007196 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
20 Malcolm Way, Lincroft, NJ 077381556 9143165424

Other Providers KELSEY SIEGEL

NPI Name Taxonomy Address Enumeration
1609165901 Kelsey Nicole Siegel Social Worker 1201 Tompkins Dr, Madison, WI 53716-3272 2011-04-07

Office Location

Street Address 225 BROADWAY
SUITE 2713
City NEW YORK
State NY
Zip Code 10007

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1043201759 Paul I Cohen Jr. Dentist 225 Broadway, New York, NY 10007-3001 2005-11-02
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1891223061 Adam Siroky Social Worker 225 Broadway, New York, NY 10007-3001 2017-05-31
1467993642 Kevin Bona Specialist/Technologist 225 Broadway, New York, NY 10007-3001 2017-03-20
1053856088 Diana Fosha Psychologist 225 Broadway, Suite 3400, New York, NY 10007-3001 2016-12-29
1174067391 Arthur Sardini Iv Specialist/Technologist 225 Broadway, Suit 2120, New York, NY 10007-3001 2016-12-07
1043753080 Danielle Verbel Physical Therapist 225 Broadway, Suite 2120, New York, NY 10007-3001 2016-11-23
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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