Healthcare Provider Details

I. General information

NPI: 1568384535
Provider Name (Legal Business Name): BREAKTHROUGH PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY STE Y
ALBANY NY
12207-2922
US

IV. Provider business mailing address

9312 SPANISH MOSS RD E
LAKE WORTH FL
33467-2331
US

V. Phone/Fax

Practice location:
  • Phone: 561-809-5695
  • Fax:
Mailing address:
  • Phone: 267-262-2707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TANYA MALINSKY SIFF
Title or Position: DIRECTOR
Credential: PHD
Phone: 561-809-5695