Ethan Siegel, Psy.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004627 Issued in VA

Legal business name

ETHAN SIEGEL, PSY.D.

Practice address

6400 Seven Corners PL
Suite R
Falls Church, VA 22044-2009

Phone

(703) 819-6177

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Robert Siegel, PSY.D.NPI 1043568975

Title

Psychologist

Phone

(703) 819-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethan Siegel, PSY.D.

  • Clinical Psychologist
  • Falls Church, VA
  • NPI 1043568975
  NPD (past) Authorized official
• Stacy Michelle Saunders, PSYD

  • Clinical Psychologist
  • Huntington, WV
  • NPI 1851065932
  NPD (past)
• William Sisco, PSY.D.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1457801276
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1215488911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SEVEN CORNERS PL",
            "address_2": "SUITE R",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442009",
            "telephone_number": "703-819-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SEVEN CORNERS PL",
            "address_2": "SUITE R",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442009",
            "telephone_number": "703-819-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN SIEGEL, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-819-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1043568975",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Ariel Escobar
• Mehdi Eslami
• Essence of Acupuncture LLC
• Essential Health Center, PLC
• Perry S Esterson, PT
• Paraskevi Euripides, MS
• David Lee Evans, M.D.
• Helen A Evans, MD
• Jeanne B Evans, LPC LMFT
• Kari Faye Evans, PSY.D.

• Clinical Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.