David Eric Sivesind, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018484 Issued in NY

Practice address

252 Java St Ste 323
Brooklyn, NY 11222-5558

Phone

(917) 627-1014

NPI assigned

Nov 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Sivesind Psychology PLLC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1326969346
  NPD (past) Authorized official

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1447403514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 323",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225558",
            "telephone_number": "917-627-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 323",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225558",
            "telephone_number": "917-627-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVESIND",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2023-03-10",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keerthiga Sivakumar, DO
• Samyuktha Sivakumar, MBBS
• Shruthi Sivakumar, MBBS
• Vadamalayan Sivalingam, MD
• Sivesind Psychology PLLC
• Alexander Sivkov, PHARMD
• Mazal Siweid, LMSW
• Sixty-First Street Pharmacy Inc.
• Oksana Siyunova
• Sjae Associates, Inc.

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.