Deirdre Gisela Modesti, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002096 Issued in VA

Practice address

405 N Washington St Ste 104
Falls Church, VA 22046-3410

Phone

(703) 525-0242

NPI assigned

May 18, 2020

Last updated

May 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1396368973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WASHINGTON ST STE 104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463410",
            "telephone_number": "703-525-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WASHINGTON ST STE 104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463410",
            "telephone_number": "703-525-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTI",
        "first_name": "DEIRDRE",
        "middle_name": "GISELA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Virginia",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 N Washington St Ste 104",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220463410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Virginia",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 N Washington St Ste 104",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220463410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Virginia",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 N Washington St Ste 104",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220463410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Hugh Mitton, D.D.S.
• James R Mize, MD
• Gerard Moawad, MD
• Arthur Mode, MD
• Dianne B Modell, LCSW
• Gloria Jean Mog, LCSW
• Evelyn C. Mogadam, NP
• Marjan Moghaddam
• Mariam Mohamed
• Sarah A. Mohammad, MD

• 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 May 18, 2020; 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.