Individual provider Active NPI

Chiara Simeone-Difrancesco, PH.D.

  • Clinical Psychologist
  • Reston, VA
National Provider Identifier
1114049962
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810-005129 Issued in VA
Practice address
11160C1 S Lakes Dr
#182
Reston, VA 20191-4327
Phone
(703) 479-1788
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1623057 WI
Clinical Psychologist 103TC0700X 0810-005129 VA Primary

Addresses

Primary practice location

11160C1 S Lakes Dr
#182
Reston, VA 20191-4327

Mailing address

PO Box 793
Oshkosh, WI 54903-0793
Phone (703) 479-1788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2014 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1623057WIMDPsychologist
0810-005129VAMDClinical Psychologist
1623WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healing International, Inc. Past Accepting new patients

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1114049962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549030793",
            "telephone_number": "703-479-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160C1 S LAKES DR",
            "address_2": "#182",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914327",
            "telephone_number": "703-479-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEONE-DIFRANCESCO",
        "first_name": "CHIARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1623057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810-005129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.