DUSTIN SIEGEL PSYD
NPI 1093342156
Psychologist - Clinical in Chicago, IL

Q: What is Dustin Siegel's NPI number?

The NPI number for Dustin Siegel is 1093342156. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Dustin Siegel's specialty?

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

Q: Is Dustin Siegel enrolled in Medicare?

No. Dustin Siegel has opted out of Medicare through September 17, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Dustin Siegel was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 26, 2020Opted out of Medicare · through Sep 17, 2026

1820 W WEBSTER AVE STE 400, CHICAGO, IL 60614(312) 248-3048 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Mar 26, 2020 (2 updates tracked since 2020).

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About Dustin Siegel Psyd NPPES

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

DUSTIN SIEGEL PSYD (NPI 1093342156) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009259) and active in the NPI registry since March 2020. He has opted out of Medicare through September 17, 2026 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093342156

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDUSTIN SIEGELCredential: PSYD

Location Address1820 W WEBSTER AVE STE 400Chicago, IL 60614-4892

Mailing Address1820 W Webster Ave Ste 400Chicago, IL 60614-4892 · (312) 248-3048

Phone(312) 248-3048

Sole ProprietorNo

Enumeration DateMarch 26, 2020

Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1093342156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009259

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.

1820 W WEBSTER AVE STE 400, Chicago, IL 60614

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Secondary Practice Locations 2

Location 1656 W Randolph St Ste 4WChicago, IL 60661-2164 · Phone (847) 559-0001 ext. 58

Location 2707 Lake Cook Rd Ste 310Deerfield, IL 60015-4933 · Phone (847) 559-0001 ext. 58

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dustin Siegel Psyd 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 September 17, 2020 through September 17, 2026.

Opt-Out Effective DateSeptember 17, 2020

Opt-Out In Effect ThroughSeptember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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