DR. LAUREN OLIVIA PATTERSON-SIEKIRK PSY.D.
NPI 1336760164
Psychologist - Clinical in Statesboro, GA

Active since May 04, 2020Opted out of Medicare · through Apr 17, 2028
108 S ZETTEROWER AVE, STATESBORO, GA 30458(912) 231-7279 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Dec 11, 2020, May 4, 2020 (3 updates tracked since 2020).

About Dr. Lauren Olivia Patterson-siekirk Psy.d. NPPES

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

DR. LAUREN OLIVIA PATTERSON-SIEKIRK PSY.D. (NPI 1336760164) is an individual clinical provider in Statesboro, Georgia, licensed in Georgia (PSY004201) and active in the NPI registry since May 2020. She has opted out of Medicare through April 17, 2028 and maintains a secondary practice location in Statesboro.

NPPES Registry Identity

NPI1336760164
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAUREN OLIVIA PATTERSON-SIEKIRKCredential: PSY.D.
Location Address108 S ZETTEROWER AVEStatesboro, GA 30458-4816
Mailing Address209 Thornwood CtStatesboro, GA 30458-0296 · (912) 231-7279
Sole ProprietorYes
Enumeration DateMay 4, 2020
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1336760164 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 GA · PSY004201
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.
108 S ZETTEROWER AVE, Statesboro, GA 30458

Other Names 1

Former Name (1)Lauren Olivia Patterson

Secondary Practice Location 1

Location 1209 Thornwood CtStatesboro, GA 30458-0296 · Phone (912) 231-7279

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. Lauren Olivia Patterson-siekirk Psy.d. 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 April 17, 2024 through April 17, 2028.

Opt-Out Effective DateApril 17, 2024
Opt-Out In Effect ThroughApril 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Adolescent and Children Mental Health)
108 S ZETTEROWER AVE
STATESBORO, GA 30458
Psychologist
108 S ZETTEROWER AVE
STATESBORO, GA 30458

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 Lauren Patterson-siekirk's NPI number?

The NPI number for Lauren Patterson-siekirk is 1336760164. It was assigned to this individual provider in the NPPES registry on May 4, 2020. The provider is also known as Lauren Olivia Patterson.

Where is Lauren Patterson-siekirk located?

Lauren Patterson-siekirk practices at 108 S Zetterower Ave, Statesboro, GA 30458. The listed phone number is (912) 231-7279.

What is Lauren Patterson-siekirk's specialty?

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

Is Lauren Patterson-siekirk enrolled in Medicare?

No. Lauren Patterson-siekirk has opted out of Medicare through April 17, 2028. 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 Lauren Patterson-siekirk was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.