Active NPI
Joseph James Sivak, MD
- Psychiatry Physician
- Erie, PA
National Provider Identifier
1851467575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD449533
- Practice address
- 2910 State St
Erie, PA 16508-1832 - Phone
- (814) 454-5686
- Fax
- (814) 454-8946
- NPI assigned
- Nov 27, 2006
- Last updated
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME117834 | FL | |
| Psychiatry Physician | 2084P0800X | MD449533 | PA | Primary |
Addresses
Primary practice location
2910 State St
Erie, PA 16508-1832
Mailing address
2910 State St
Erie, PA 16508-1832
Phone (814) 454-5686
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 471090000 | Other | MN | MAGELLAN |
| ME117834 | Other | FL | FL MEDICAL LICENSE |
| 34242600 | Other | WI | BADGER CARE |
| P00025670 | Other | MN | MEDICARE RR |
| F48102 | Other | MN | HEALTH PARTNERS |
| 116129000 | Medicaid | FL | |
| 1568794 | Other | MN | MEDICA |
| 151653100 | Medicaid | MN | |
| 160952 | Other | MN | UCARE |
| 538S9SI | Other | MN | BCBS MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Hahnemann University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 20TH Ave N
Suite 403
Nashville, TN 37203-5180
4205 Belfort Rd
Suite 4015
Jacksonville, FL 32216-3623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carson Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Ascension Saint Thomas Hickman
- Critical Access Hospital
- Centerville, TN
- NPI 1245275254
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Public Health or Welfare Agency
- Westfield, MA
- NPI 1215975842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1851467575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081832",
"telephone_number": "814-454-5686",
"fax_number": "814-454-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081832",
"telephone_number": "814-454-5686",
"fax_number": "814-454-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAK",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME117834",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD449533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "471090000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICAL LICENSE",
"identifier": "ME117834",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BADGER CARE",
"identifier": "34242600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00025670",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "F48102",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116129000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1568794",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151653100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "160952",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "538S9SI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.