Active NPI
Gal Sivan, PSY.D.
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1205370871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10508
- Practice address
- 1330 Beacon St
# 202
Brookline, MA 02446-3282 - Phone
- (617) 580-0888
- NPI assigned
- Dec 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10508 | MA | Primary |
Addresses
Primary practice location
1330 Beacon St
# 202
Brookline, MA 02446-3282
Mailing address
33 Brainerd Rd
Apt 311
Boston, MA 02134-4527
Phone (617) 939-3864
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10508 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Gal Sivan, Inc | Clinical | Past | 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.
-
- Clinical Psychologist
- Boston, MA
- NPI 1184165524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1205370871",
"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": "1330 BEACON ST",
"address_2": "# 202",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463282",
"telephone_number": "617-580-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAN",
"first_name": "GAL",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-15",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.