Individual provider Active NPI

Deborah Mary Sinek, PH.D.

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1063526234
Registry record updated Sep 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003456 Issued in VA
Practice address
100 E South St
Suite 2
Charlottesville, VA 22902-5215
Phone
(434) 227-4721
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003456 VA Primary

Addresses

Primary practice location

100 E South St
Suite 2
Charlottesville, VA 22902-5215

Mailing address

100 E South St
Suite 2
Charlottesville, VA 22902-5215
Phone (434) 227-4721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318000165 VA Practitioner - Clinical Psychologist 4587940374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 E S St
Suite 2
Charlottesville, VA 22902-5217
Phone (434) 227-4721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810003456VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Sinek, PHD LLC CurrentSince Jul 13, 2012 Accepting new patients

Locations

100 E South St
Ste 2
Charlottesville, VA 22902
Phone (434) 227-4721

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505520000000",
    "number": "1063526234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST",
            "address_2": "SUITE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025215",
            "telephone_number": "434-227-4721",
            "fax_number": "833-255-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST",
            "address_2": "SUITE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025215",
            "telephone_number": "434-227-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINEK",
        "first_name": "DEBORAH",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.