1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Psychologist
  6. NPI Profile

KENNETH S. SIEDLER, PSY.D., LLC
NPI 1003708124
Psychologist - Clinical in Dallas, TX

Active since July 15, 2025
8340 MEADOW RD STE 134, DALLAS, TX 75231(214) 784-1785 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth S. Siedler, Psy.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH S. SIEDLER, PSY.D., LLC (NPI 1003708124) is a healthcare organization registered as a clinical in Dallas, Texas and active in the NPI registry since July 2025. The organization lists Kenneth S. Siedler, Owner, as its authorized official.

NPPES Registry Identity

NPI1003708124
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKENNETH S. SIEDLER, PSY.D., LLC
Location Address8340 MEADOW RD STE 134Dallas, TX 75231-4280
Mailing Address8340 Meadow Rd Ste 134Dallas, TX 75231-4280 · (214) 784-1785
Phone(214) 784-1785
Organization SubpartNo
Authorized OfficialKenneth S. SiedlerOwner · (214) 784-1785
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1003708124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8340 MEADOW RD STE 134, Dallas, TX 75231
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth S. Siedler, Psy.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenneth S. Siedler, Psy.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Siedler, PSY.D., M.A.
Clinical Psychologist
NPI 1578841953
8340 MEADOW RD STE 134
Dallas, TX 75231
(214) 784-1785
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth S. Siedler, Psy.D., LLC's NPI number?

The NPI number for Kenneth S. Siedler, Psy.D., LLC is 1003708124. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is Kenneth S. Siedler, Psy.D., LLC located?

Kenneth S. Siedler, Psy.D., LLC is located at 8340 Meadow Rd Ste 134, Dallas, TX 75231. The listed phone number is (214) 784-1785.

What is Kenneth S. Siedler, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth S. Siedler, Psy.D., LLC enrolled in Medicare?

Yes. Kenneth S. Siedler, Psy.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth S. Siedler, Psy.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kenneth S. Siedler, Psy.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kenneth S. Siedler, Psy.D., LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenneth S. Siedler, Psy.D., LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth S. Siedler, Psy.D., LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.