Active NPI
Silverlining Psychiatry Medical Group
- Prescribing (Medical) Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- A88348
- Legal business name
- SILVERLINING PSYCHIATRY MEDICAL GROUP
- Practice address
- 2250 3Rd Ave
San Diego, CA 92101-2024 - Phone
- (858) 230-7585
- Fax
- (858) 658-0857
- NPI assigned
- Oct 21, 2013
- Last updated
- Mar 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dmitriy Sivtsov, MD
- Title
- President
- Phone
- (858) 230-7585
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | A88348 | CA | Primary |
Addresses
Primary practice location
2250 3Rd Ave
San Diego, CA 92101-2024
Mailing address
2250 3Rd Ave
San Diego, CA 92101-2024
Phone (858) 230-7585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3252 Holiday Ct
Ste 108
La Jolla, CA 92037
Phone (858) 230-7585
2250 3rd Ave
San Diego, CA 92101
Phone (858) 230-7585
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1467553958
-
- Psychiatric/Mental Health Nurse Practitioner
- San Marcos, CA
- NPI 1891233649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710288000000",
"number": "1508294083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012024",
"telephone_number": "858-230-7585",
"fax_number": "858-658-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012024",
"telephone_number": "858-230-7585",
"fax_number": "858-658-0857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVERLINING PSYCHIATRY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-21",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "SIVTSOV",
"authorized_official_first_name": "DMITRIY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-230-7585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "CA",
"license": "A88348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.