Individual provider Active NPI

Ann Dinsmoor Sigafoos, PH.D.

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1265500722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001836 Issued in VA
Practice address
10520 Judicial Dr
Forensics Program, Fairfax County Adult Detention Cente
Fairfax, VA 22030-5115
Phone
(703) 246-4454
Fax
(703) 383-9638
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001836 VA Primary

Addresses

Primary practice location

10520 Judicial Dr
Forensics Program, Fairfax County Adult Detention Cente
Fairfax, VA 22030-5115

Mailing address

10520 Judicial Dr
Forensics Program, Fairfax County Adult Detention Cente
Fairfax, VA 22030-5115
Phone (703) 246-4454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001836VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265500722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 JUDICIAL DR",
            "address_2": "FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305115",
            "telephone_number": "703-246-4454",
            "fax_number": "703-383-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 JUDICIAL DR",
            "address_2": "FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305115",
            "telephone_number": "703-246-4454",
            "fax_number": "703-383-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGAFOOS",
        "first_name": "ANN",
        "middle_name": "DINSMOOR",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.