Active NPI
Nicolas Edward Sirianni, PSYD
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1164081675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6792
- Practice address
- 5106 Bur Oak Cir
Raleigh, NC 27612-3101 - Phone
- (919) 896-0385
- NPI assigned
- Jun 8, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 6792 | NC | Primary |
Addresses
Primary practice location
5106 Bur Oak Cir
Raleigh, NC 27612-3101
Mailing address
5106 Bur Oak Cir
Upstairs Suite
Raleigh, NC 27612-3101
Phone (919) 896-0385
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6792 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1164081675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5106 BUR OAK CIR",
"address_2": "UPSTAIRS SUITE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123101",
"telephone_number": "919-896-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5106 BUR OAK CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123101",
"telephone_number": "919-896-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRIANNI",
"first_name": "NICOLAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-08",
"last_updated": "2025-06-02",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "6792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.