DR. SUSAN A ETKIND PSYD, PHD
NPI 1548585334
Psychologist - Clinical in Fairfax, VA

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
4339 ANDES DR, FAIRFAX, VA 22030(301) 312-1003 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2023, May 4, 2022, May 22, 2019 (3 updates tracked since 2019).

About Dr. Susan A Etkind Psyd, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN A ETKIND PSYD, PHD (NPI 1548585334) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810004926) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1548585334
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN A ETKINDCredential: PSYD, PHD
Location Address4339 ANDES DRFairfax, VA 22030-5360
Mailing Address10332 Main St # 282Fairfax, VA 22030-2410 · (703) 673-7113
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 5, 2010
Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1548585334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VA · 0810004926
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4339 ANDES DR, Fairfax, VA 22030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan A Etkind Psyd, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335366574
PECOS Enrollment IDI20140811002561
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4339 ANDES DR
FAIRFAX, VA 22030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Etkind's NPI number?

The NPI number for Susan Etkind is 1548585334. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Susan Etkind located?

Susan Etkind practices at 4339 Andes Dr, Fairfax, VA 22030. The listed phone number is (301) 312-1003.

What is Susan Etkind's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Susan Etkind enrolled in Medicare?

Yes. Susan Etkind is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Etkind was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.