Individual provider Active NPI

Sivan Peleg Minzberg

  • Psychologist
  • Plano, TX
National Provider Identifier
1821798265
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
9717 Southern Hills Dr
Plano, TX 75025
Phone
(469) 613-8828
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

9717 Southern Hills Dr
Plano, TX 75025

Mailing address

9717 Southern Hills Dr
Plano, TX 75025
Phone (469) 613-8828

Other practice location 1

8140 Walnut Hill Ln
Suite 320
Dallas, TX 75231
Phone (469) 666-7314

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1821798265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 SOUTHERN HILLS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "469-613-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 SOUTHERN HILLS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "469-613-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 Walnut Hill Ln",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75231",
            "country_code": "US",
            "telephone_number": "469-666-7314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELEG MINZBERG",
        "first_name": "SIVAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.