Individual provider Active NPI

Tanya Malinsky Siff, P.H.D

  • Psychologist
  • Lake Worth, FL
National Provider Identifier
1295901080
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016993 Issued in PA
Practice address
9312 Spanish Moss Rd E
Lake Worth, FL 33467-2331
Phone
(267) 262-2707
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.7281 OH
Psychologist 103T00000X PY10164 FL
Psychologist 103T00000X 020453 NY
Psychologist 103T00000X PS016993 PA Primary

Addresses

Primary practice location

9312 Spanish Moss Rd E
Lake Worth, FL 33467-2331

Mailing address

9312 Spanish Moss Rd E
Lake Worth, FL 33467-2331
Phone (267) 262-2707

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY10164FLMDPsychologist
020453NYMDPsychologist
P.7281OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Psychology PLLC Psychologist PastSince Feb 11, 2024 Accepting new patients
Breakthrough Psychological Group PA Psychologist PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 2

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1295901080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9312 SPANISH MOSS RD E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672331",
            "telephone_number": "267-262-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 SPANISH MOSS RD E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672331",
            "telephone_number": "267-262-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFF",
        "first_name": "TANYA",
        "middle_name": "MALINSKY",
        "name_prefix": "Dr.",
        "credential": "P.H.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-02-08",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.7281",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10164",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020453",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.