Sidney Allen, PSYD
Individual provider Active NPI Clinical Psychologist · Fairfax, VA
NPI 1174493282 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1174493282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810009184 (VA)
- Practice address
- 4023 Chain Bridge Rd Ste 7
Fairfax, VA 22030-4121 - Phone
- (571) 520-5454
- NPI assigned
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810009184 | VA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810009184 | VA | Yes |
Addresses
Primary practice location
4023 Chain Bridge Rd Ste 7
Fairfax, VA 22030-4121
Mailing address
4023 Chain Bridge Rd Ste 7
Fairfax, VA 22030-4121
Other providers in Fairfax, VA
- Erica Monique Allen Winslow
- Andrea L Allen
- Caroline Allen
- Joshua M Allen
- Rebecca Allen
- Susan Allen
- Susan R Allen
- Terry A Allen
- Allergy Partners, PLLC
- Katharine M Alley
All providers in Fairfax, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.