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DR. THEODORE SIEDLECKI JR. PH.D.
NPI 1952396012
Psychologist - Clinical in Charlottesville, VA

Active since September 14, 2005
233 HYDRAULIC RIDGE RD, STE 204, CHARLOTTESVILLE, VA 22901(434) 973-2526(434) 975-5948 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theodore Siedlecki Jr. Ph.d. NPPES

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

DR. THEODORE SIEDLECKI JR. PH.D. (NPI 1952396012) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810001918) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1952396012
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEODORE SIEDLECKI JR.Credential: PH.D.
Location Address233 HYDRAULIC RIDGE RD, STE 204Charlottesville, VA 22901-8129
Mailing Address233 Hydraulic Ridge Rd Ste 204Charlottesville, VA 22901-8129 · (434) 973-2526 · Fax (434) 975-5948
Phone(434) 973-2526
Fax(434) 975-5948
Sole ProprietorYes
Enumeration DateSeptember 14, 2005
Last NPPES UpdateApril 19, 2012
✔ NPI 1952396012 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 VA · 0810001918
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.
233 HYDRAULIC RIDGE RD, Charlottesville, VA 22901
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Other Identifiers 2

Medicare ID-Type Unspecified680001087VA
Medicaid007707703VA

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.

DR. CORTLAND P NEUHOFF D.C.
Chiropractor
233 HYDRAULIC RIDGE RD, SUITE 102
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 981-3074
SUSAN RANDOLPH M.S.
Counselor (Mental Health)
233 HYDRAULIC RIDGE RD, 205
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 409-9367
DR. STEVEN ALAN VEGODSKY D.C.
Chiropractor
233 HYDRAULIC RIDGE RD, SUITE103
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-1001
MELISSA ADAMS DC
Chiropractor
233 HYDRAULIC RIDGE RD, STE 102
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 922-1900
DR. RUTH M BALL PH.D.
Psychologist (Clinical)
233 HYDRAULIC RIDGE RD, SUITE 204
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 979-5783
DR. DENISE HORTON PH.D.
Psychologist (Clinical)
233 HYDRAULIC RIDGE RD, SUITE 102
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 825-3088

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 Theodore Siedlecki's NPI number?

The NPI number for Theodore Siedlecki is 1952396012. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Theodore Siedlecki located?

Theodore Siedlecki practices at 233 Hydraulic Ridge Rd Ste 204, Charlottesville, VA 22901. The listed phone number is (434) 973-2526.

What is Theodore Siedlecki's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Siedlecki was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.