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JENNIFER SIEGEL
NPI 1205416096
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 14, 2021Opted out of Medicare · through Nov 12, 2027
1301 N BROADWAY STE 32089, LOS ANGELES, CA 90012(805) 601-6394 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2026, Sep 4, 2025, Jun 11, 2025 and 2 more (5 updates tracked since 2021).

About Jennifer Siegel NPPES

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

JENNIFER SIEGEL (NPI 1205416096) is an individual psychiatry provider in Los Angeles, California, licensed in California (A184631) and active in the NPI registry since April 2021. She has opted out of Medicare through November 12, 2027.

NPPES Registry Identity

NPI1205416096
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJENNIFER SIEGEL
Location Address1301 N BROADWAY STE 32089Los Angeles, CA 90012-1408
Mailing Address1301 N Broadway Ste 32089Los Angeles, CA 90012-1408 · (805) 601-6394 · Fax (949) 396-6831
Phone(805) 601-6394
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1205416096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A184631
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1301 N BROADWAY STE 32089, Los Angeles, CA 90012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Siegel 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 November 12, 2025 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2025
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jennifer Siegel's NPI number?

The NPI number for Jennifer Siegel is 1205416096. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Jennifer Siegel located?

Jennifer Siegel practices at 1301 N Broadway Ste 32089, Los Angeles, CA 90012. The listed phone number is (805) 601-6394.

What is Jennifer Siegel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jennifer Siegel enrolled in Medicare?

No. Jennifer Siegel has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Siegel was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.