JON HOWARD SIEGEL (NPI# 1124149513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124149513 |
| Entity Type | Individual |
| Full Name | JON HOWARD SIEGEL |
| Credential | PH.D. |
| Practice Address |
6 State St Suite 413 Bangor ME 04401-5112 |
| Practice Telephone | 2079422627 |
| Practice Fax Number | 2079422627 |
| Mailing Telephone | 2079422627 |
| Mailing Fax Number | 2079422627 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PS744 | ME | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| X | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| X | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984095 | Jon David Siegel | Psychologist | 4232 N Brown Ave, Suite 4, Scottsdale, AZ 85251-3996 | 2006-07-17 |
| 1306821525 | Jon L Siegel | Radiology | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2005-12-09 |
| Street Address |
6 STATE ST SUITE 413 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194768887 | Brian W Selby | Psychologist | 6 State St, Suite 208, Bangor, ME 04401-5112 | 2006-06-13 |
| 1881936524 | Siegel & Siegel, P.a. | Psychologist | 6 State St, Suite 413, Bangor, ME 04401-5112 | 2013-03-20 |
| 1598952913 | Linda Keil Wakely | Psychologist | 6 State St, Suite 603, Bangor, ME 04401-5112 | 2007-09-30 |
| 1992999627 | Selby Psychological Services, Pllc | Psychologist | 6 State St, Suite 208, Bangor, ME 04401-5112 | 2007-09-06 |
| 1265625586 | Carol Jones Sherman | Counselor | 6 State St, Bangor, ME 04401-5112 | 2007-08-21 |
| 1689892549 | Jessica Anne Arsenault | Psychiatry & Neurology | 6 State St, Suite 613, Bangor, ME 04401-5112 | 2007-04-23 |
| 1144342122 | Laurene Alice Collins | Counselor | 6 State St, Suite 617, Bangor, ME 04401-5112 | 2007-04-03 |
| 1467573873 | Joelle Valvo Siegel | Psychologist | 6 State St, Suite 413, Bangor, ME 04401-5112 | 2007-04-03 |
| 1679605760 | B. Pascha Warren | Counselor | 6 State St, Suite #507, Bangor, ME 04401-5112 | 2007-03-12 |
| 1437296340 | Michael John Dematteo I | Social Worker | 6 State St, Bangor, ME 04401-5112 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023168531 | Diane Alicia Tennies | Psychologist | 115 Franklin St, Suite 1a, Bangor, ME 04401-4936 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1629362942 | Thomas Peter Collins | Psychologist | 436 Greenwood Mtn Rd, Hebron, ME 04238-3553 | 2011-06-03 |
| 1376501833 | Joel Guarna | Psychologist | 25 Middle St, Portland, ME 04101-4212 | 2006-05-03 |
| 1215195672 | Rachelle Morrison | Psychologist | 222 Saint John St, Suite 228, Portland, ME 04102-3000 | 2008-06-01 |
Please comment or provide details below to improve the information on JON HOWARD SIEGEL.
| 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.