Individual provider Active NPI

Dwight William Sievert, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1841388022
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G47593 Issued in CA
Practice address
7766 N Palm Ave Ste 107
Fresno, CA 93711-5734
Phone
(559) 435-0800
Fax
(559) 435-7720
NPI assigned
Oct 11, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G47593 CA Primary

Addresses

Primary practice location

7766 N Palm Ave Ste 107
Fresno, CA 93711-5734

Mailing address

7131 N 11TH St Ste 104
Fresno, CA 93720-3375
Phone (559) 435-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000987 CA Practitioner - Psychiatry 7113971276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dwight W Sievert MD IncGroup PAC ID 1052365103, 2 clinicians

Practice addresses (Care Compare)

7766 N Palm Ave
Suite 107
Fresno, CA 93711-5708
Phone (559) 435-0800

Merit-based Incentive Payment System (MIPS)

Final score
24.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G47593CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwight W Sievert MD Inc Psychiatry CurrentSince Jun 1, 2004 Accepting new patients
Olive Leaf Family Therapy, Inc PastSince Aug 7, 2024 Accepting new patients

Locations

7131 N 11th St
Ste 104
Fresno, CA 93720
Phone (559) 435-0800

7766 N Palm Ave
Ste 107
Fresno, CA 93711
Phone (559) 435-0800

Interoperability endpoints

  • Direct secure messaging: dwight@6cf4831a.micromddirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1841388022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0800",
            "fax_number": "559-435-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 N PALM AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115734",
            "telephone_number": "559-435-0800",
            "fax_number": "559-435-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERT",
        "first_name": "DWIGHT",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G47593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.