Organization Active NPI

Sivakumar Medical PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1700594348
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SIVAKUMAR MEDICAL PLLC
Practice address
99 Wall St Ste 475
New York, NY 10005-4301
Phone
(917) 284-8973
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Authorized official

Name
Dr. Haran Sivakumar
Title
Owner
Phone
(408) 636-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

99 Wall St Ste 475
New York, NY 10005-4301

Mailing address

99 Wall St Ste 475
New York, NY 10005-4301
Phone (917) 284-8973

National Provider Directory

National Provider Directory

Locations

99 Wall St
Ste 475
New York, NY 10005
Phone (408) 636-6058

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763769600000",
    "number": "1700594348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 475",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "917-284-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 475",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "917-284-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVAKUMAR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "HARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-636-6058",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; 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.