Simona Efanov, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005736 Issued in VA

Practice address

650 Pennsylvania Ave SE Ste 240
Washington, DC 20003-4370

Phone

(202) 544-5440

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capitolhill Consortium for Counseling & Consultation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1992965552
  NPD

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083133631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CRYSTAL DR APT 915",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024420",
            "telephone_number": "202-322-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE STE 240",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034370",
            "telephone_number": "202-544-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 15th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012627",
            "country_code": "US",
            "telephone_number": "202-322-8187",
            "fax_number": "202-322-8187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Union St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142657",
            "country_code": "US",
            "telephone_number": "202-322-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EFANOV",
        "first_name": "SIMONA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wakeen Shareef Ali Edwards, HHA
• Edwin C Chapman MD PC
• Edith Edwin
• Lini Edwin
• Erin Edzards, NCSP
• Horace Efase
• Gloria Eferaro
• Effective Care Solution Inc
• Efficacy Inc.
• Arielle Rose Effron

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.