Active NPI
Christina Urcinas, PHD
- Psychologist
- Fairfax, VA
National Provider Identifier
1427447929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810005619
- Practice address
- 3700 Joseph Siewick Dr Ste 408a
Fairfax, VA 22033-1745 - Phone
- (703) 620-3211
- Fax
- (703) 620-3215
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05389 | MD | |
| Psychologist | 103T00000X | 0810005619 | VA | Primary |
Addresses
Primary practice location
3700 Joseph Siewick Dr Ste 408a
Fairfax, VA 22033-1745
Mailing address
3700 Joseph Siewick Dr Ste 408a
Fairfax, VA 22033-1745
Phone (703) 620-3211
Other practice location 1
1662 Village Grn
Crofton, MD 21114-2014
Phone (410) 757-2077 ext. 8137
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1427447929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR STE 408A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331745",
"telephone_number": "703-620-3211",
"fax_number": "703-620-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR STE 408A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331745",
"telephone_number": "703-620-3211",
"fax_number": "703-620-3215"
}
],
"practiceLocations": [
{
"address_1": "1662 Village Grn",
"address_purpose": "LOCATION",
"city": "Crofton",
"state": "MD",
"postal_code": "211142014",
"country_code": "US",
"telephone_number": "410-757-2077 x8137",
"fax_number": "410-721-2357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URCINAS",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05389",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810005619",
"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 Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.