| Siebert Psychological Services Pllc | |
|
9701 Brodie Ln Ste 205 Austin TX 78748-6284 | |
| (281) 636-0451 | |
| Not Available |
| Full Name | Siebert Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 9701 Brodie Ln Ste 205, Austin, Texas |
| Authorized Official Name and Position | Melissa Siebert (PSYCHOLOGIST) |
| Authorized Official Contact | 2816360451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siebert Psychological Services Pllc 9701 Brodie Ln Ste 205 Austin TX 78748-6284 Ph: (281) 636-0451 | Siebert Psychological Services Pllc 9701 Brodie Ln Ste 205 Austin TX 78748-6284 Ph: (281) 636-0451 |
| NPI Number | 1942952726 |
|---|---|
| Provider Enumeration Date | 01/22/2022 |
| Last Update Date | 01/22/2022 |
| Certification Date | 01/22/2022 |
| Medicare PECOS PAC ID | 6901291558 |
|---|---|
| Medicare Enrollment ID | O20220316004129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942952726 | NPI | - | NPPES |
| 1548778236 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Keeley Crowfoot |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1528348414 PECOS PAC ID: 1557646908 Enrollment ID: I20170327000805 |
| Provider Name | Jessica A Peller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386161750 PECOS PAC ID: 2062787104 Enrollment ID: I20170929000670 |
| Provider Name | Melissa Christine Siebert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548778236 PECOS PAC ID: 8426317272 Enrollment ID: I20180124001047 |
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