DR. KENNETH SEIDER PHD
NPI 1033394028
Psychologist - Clinical in Berkeley, CA
About Dr. Kenneth Seider Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH SEIDER PHD (NPI 1033394028) is an individual clinical provider in Berkeley, California, licensed in California (PSY9918) and active in the NPI registry since January 2008. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kenneth Seider Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERKELEY, CA 94705
BERKELEY, CA 94705
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 Seider's NPI number?
The NPI number for Kenneth Seider is 1033394028. It was assigned to this individual provider in the NPPES registry on January 8, 2008.
Where is Kenneth Seider located?
Kenneth Seider practices at 2920 Domingo Ave, Berkeley, CA 94705. The listed phone number is (510) 548-6015.
What is Kenneth Seider's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kenneth Seider enrolled in Medicare?
No. Kenneth Seider has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kenneth Seider was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Dr. Kenneth Seider, PHD · NPI 1033394028
Clinical provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since January 8, 2008.
## Identity
- **NPI:** 1033394028 (Entity type: Individual)
- **Enumerated:** January 8, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY9918 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2920 DOMINGO AVE, Berkeley, CA 94705-2400
- **Phone:** (510) 548-6015
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 2, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1033394028) · Data from the CMS NPPES public registry.