DR. THEODORE SIEDLECKI JR.


Address: 233 Hydraulic Ridge Rd, Ste 204, Charlottesville, VA 22901-8129
Phone: 4349732526

DR. THEODORE SIEDLECKI JR. (NPI# 1952396012) 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) 1952396012
Entity Type Individual
Full Name DR. THEODORE SIEDLECKI JR.
Credential PH.D.
Practice Address 233 Hydraulic Ridge Rd
Ste 204
Charlottesville
VA 22901-8129
Mailing Address 233 Hydraulic Ridge Rd Ste 204
Charlottesville
VA 22901-8129
Practice Telephone 4349732526
Practice Fax Number 4349755948
Mailing Telephone 4349732526
Mailing Fax Number 4349755948
Enumeration Date 2005-09-14
Last Update Date 2012-04-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810001918 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 007707703 05

Office Location

Street Address 233 HYDRAULIC RIDGE RD
STE 204
City CHARLOTTESVILLE
State VA
Zip Code 22901-8129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750761029 Melissa Adams Chiropractor 233 Hydraulic Ridge Rd, Ste 102, Charlottesville, VA 22901-8139 2015-06-02
1083022347 Susan Randolph Counselor 233 Hydraulic Ridge Rd, 205, Charlottesville, VA 22901-8129 2014-07-30
1730519307 Suzanne Vance Acupuncturist 233 Hydraulic Ridge Rd, Suite 102, Charlottesville, VA 22901-8129 2013-11-19
1891099610 Denise Horton Psychologist 233 Hydraulic Ridge Rd, Suite 102, Charlottesville, VA 22901-8129 2011-01-08
1053548024 Cortland P Neuhoff Chiropractor 233 Hydraulic Ridge Rd, Suite 102, Charlottesville, VA 22901-8129 2009-06-17
1811089436 Ruth M Ball Psychologist 233 Hydraulic Ridge Rd, Suite 204, Charlottesville, VA 22901-8129 2006-09-29
1396704235 Steven Alan Vegodsky Chiropractor 233 Hydraulic Ridge Rd, Suite103, Charlottesville, VA 22901-8129 2006-03-20

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NPI Name Taxonomy Address Enumeration
1124641501 John Mccord Speech-Language Pathologist English Meadows, 1220 Crozet Ave, Crozet, VA 22901 2020-05-20
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1477011872 Courtney Dyan Bonilla Counselor 633 Berkmar Circle, Charlottesville, VA 22901 2019-03-05
1558855346 Dana Scott Counselor 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 2018-06-15
1043725336 M Clinic, LLC Internal Medicine 406 Albemarle Square, Charlottesville, VA 22901 2017-12-08
1033620380 Cheryl K Cottrell Counselor 875 East Rio Court, Charlottesville, VA 22901 2017-10-13
1114389640 Heather Lorin Broach Physical Therapist 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 2016-03-23
1649669904 Costco Wholesale Corporation Pharmacy 3171 District Ave, Charlottesville, VA 22901 2015-01-09
1083988778 Melissa Stanley Nurse Practitioner 1356 River Rd, Charlottesville, VA 22901 2012-02-28
1982977633 Jea Catherine Brickwedde Specialist 716 Rio Rd W, Fa, Charlottesville, VA 22901 2012-02-10
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033731146 Matthew Stuart Zimmerman Psychologist 977 Kelsey Dr, Charlottesville, VA 22903-7855 2020-05-12
1891282828 Nino Chkhaidze Psychologist 1410 Incarnation Dr # 205, Charlottesville, VA 22901-5708 2018-04-16
1376056317 Erin E Horn Psychologist 302 Park St Ste 204, Charlottesville, VA 22902 2017-11-13
1528570868 White Oak Counseling, Inc. Psychologist 667 Berkmar Ct, Charlottesville, VA 22901-1406 2017-10-26
1013434497 Latasha Leigh Nadasdi Psychologist 223 W Main St Ste F, Charlottesville, VA 22902-5071 2017-08-25
1962859637 Stephanie D. Bajo Psychologist 1 Hospital Dr Fl 6, Charlottesville, VA 22908-0001 2016-05-23
1164807491 Joanna S Yost Psychologist 1 Hospital Dr Fl 4, Charlottesville, VA 22908-0816 2015-07-28
1942640396 Mindful Health Associates LLC Psychologist 408 Hidden Ridge Rd, Charlottesville, VA 22902-7243 2013-06-30
1093054082 Carly Lynne Mount Psychologist 302 Hickman Rd Ste 105, Charlottesville, VA 22911-3572 2013-02-11
1588943526 Allison Elizabeth Anderson Psychologist 1928 Arlington Blvd, Suite 107, Charlottesville, VA 22903-1561 2011-08-09
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Competitor

Search similar providers

City CHARLOTTESVILLE
Zip Code 22901

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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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