NPIMap

Organization Active NPI

Dr. Gal Sivan, Inc

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1184165524
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10508 Issued in MA
Legal business name
DR. GAL SIVAN, INC
Practice address
185 Devonshire St
# 500
Boston, MA 02110-1407
Phone
(617) 939-3864
NPI assigned
Mar 18, 2017
Last updated
Mar 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Authorized official

Name
Dr. Gal Sivan, PSYDNPI 1205370871
Title
Owner
Phone
(617) 939-3864

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 10508 MA Primary

Addresses

Primary practice location

185 Devonshire St
# 500
Boston, MA 02110-1407

Mailing address

33 Brainerd Rd
Apt 311
Boston, MA 02134-4527
Phone (617) 939-3864

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1184165524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BRAINERD RD",
            "address_2": "APT 311",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021344527",
            "telephone_number": "617-939-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST",
            "address_2": "# 500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "617-939-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GAL SIVAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "SIVAN",
        "authorized_official_first_name": "GAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-939-3864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.