Organization Active NPI

Giles Sieburg

  • Marriage & Family Therapist
  • Syracuse, NY
National Provider Identifier
1174277206
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GILES SIEBURG
Doing business as
Sisu Blooms
Practice address
213 Yale Ave
Syracuse, NY 13219-2651
Phone
(315) 925-6113
NPI assigned
Feb 8, 2022
Organization subpart
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

Authorized official

Name
Giles Christopher Sieburg, LMFTNPI 1144696386
Title
Owner
Phone
(315) 925-6113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 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 1

IdentifierTypeStateIssuer
001657OtherNYMARRIAGE AND FAMILY THERAPIST LICENSE

Other names 1

  • Sisu Blooms Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1174277206",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILES SIEBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "SIEBURG",
        "authorized_official_first_name": "GILES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-925-6113",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST LICENSE",
            "identifier": "001657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisu Blooms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.