Individual provider Active NPI

Giles Sieburg

  • Marriage & Family Therapist
  • Syracuse, NY
National Provider Identifier
1144696386
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001657 Issued in NY
Practice address
213 Yale Ave
Syracuse, NY 13219-2651
Phone
(315) 925-6113
Fax
(607) 299-4349
NPI assigned
Aug 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001657 NY Primary

Addresses

Primary practice location

213 Yale Ave
Syracuse, NY 13219-2651

Mailing address

213 Yale Ave
Syracuse, NY 13219-2651
Phone (315) 925-6113

Other identifiers 2

IdentifierTypeStateIssuer
1336163963MedicaidNY
001657OtherNYMARRIAGE AND FAMILY THERAPIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001657NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Giles Sieburg Marriage & Family Therapist CurrentSince Nov 26, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1144696386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 YALE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192651",
            "telephone_number": "315-925-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 YALE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192651",
            "telephone_number": "315-925-6113",
            "fax_number": "607-299-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBURG",
        "first_name": "GILES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST LICENSE",
            "identifier": "001657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.