NPIMap

Organization Active NPI

Robert J Sivak, M.D., LTD

  • Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1578738936
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12253 Issued in AZ
Legal business name
ROBERT J SIVAK, M.D., LTD
Practice address
4600 S Mill Ave
Suite 160
Tempe, AZ 85282-6757
Phone
(480) 345-1200
Fax
(480) 345-1281
NPI assigned
Apr 28, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Robert John Sivak, MD
Title
President
Phone
(480) 345-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 12253 AZ Primary

Addresses

Primary practice location

4600 S Mill Ave
Suite 160
Tempe, AZ 85282-6757

Mailing address

4600 S Mill Ave Ste 160
Tempe, AZ 85282-6758
Phone (480) 345-1200

National Provider Directory

National Provider Directory

Locations

4600 S Mill Ave
Ste 160
Tempe, AZ 85282
Phone (480) 345-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1578738936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S MILL AVE STE 160",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826758",
            "telephone_number": "480-345-1200",
            "fax_number": "480-345-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S MILL AVE",
            "address_2": "SUITE 160",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826757",
            "telephone_number": "480-345-1200",
            "fax_number": "480-345-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J SIVAK, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SIVAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-345-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "12253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.