Philip David Eiseman

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006307 Issued in VA

Practice address

3919 Blenheim Blvd Ste 83B
Fairfax, VA 22030-2430

Phone

(703) 691-5539

NPI assigned

Mar 6, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phil Eiseman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1659227239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 BLENHEIM BLVD STE 83B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302430",
            "telephone_number": "703-691-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 BLENHEIM BLVD STE 83B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302430",
            "telephone_number": "703-691-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEMAN",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHIL",
            "last_name": "EISEMAN",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Louis Ehlers III, M.A., LPC, NCC
• Thomas Paul Ehrlich, MD
• Shannon Eickhoff, PA-C
• Jamilah Eid
• Nawal M Eid, CCC-SLP
• Marc Eisenbaum, M.D.
• Rachel Fannell Eisenfeld, C-PED, O.F
• Nastaran Ejtemai, DDS
• Barry B. Ekdom, PH.D.
• Gladys Ekoto

• Clinical Psychologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.