DR. NOAH SIDEMAN
NPI 1366008872
Psychologist in Philadelphia, PA

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
525 S 4TH ST, PHILADELPHIA, PA 19147(267) 861-3685 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Noah Sideman NPPES

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

DR. NOAH SIDEMAN (NPI 1366008872) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (190624951) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366008872
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. NOAH SIDEMAN
Location Address525 S 4TH STPhiladelphia, PA 19147-1570
Mailing Address725 Tasker StPhiladelphia, PA 19148-1250 · (215) 441-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2019
NPI 1366008872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · 190624951
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
525 S 4TH ST, Philadelphia, PA 19147

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Noah Sideman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931533577
PECOS Enrollment IDI20200107001606
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Counselor (Mental Health)
525 S 4TH ST
PHILADELPHIA, PA 19147
Psychologist (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Social Worker (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Psychologist (Counseling)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Psychologist (Clinical)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Counselor (Professional)
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 19147
Social Worker (Clinical)
525 S 4TH ST, SUITE 250B
PHILADELPHIA, PA 19147

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 Noah Sideman's NPI number?

The NPI number for Noah Sideman is 1366008872. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Noah Sideman located?

Noah Sideman practices at 525 S 4th St, Philadelphia, PA 19147. The listed phone number is (267) 861-3685.

What is Noah Sideman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Noah Sideman enrolled in Medicare?

Yes. Noah Sideman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Noah Sideman was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.