Kenneth S. Siedler, Psy.D., LLC
NPI 1003708124ActiveOrganization· Psychologist, Clinical· Dallas, TX
Psychologist, Clinical in Dallas, Texas, registered in NPPES in July 2025. The authorized official on file is Kenneth S. Siedler, PSYD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003708124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2025 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other clinical psychologists in Dallas
- 1003567942
- 1033592951
- 1043203458
- 1043211774
- 1043495104
- 1053686360
- 1063216893
- 1063619138
- 1083765960
- 1114658986
- 1124398946
- 1124414115
All 393 clinical psychologists in Dallas · All clinical psychologists in Texas