DR. SUSAN A ETKIND PSYD, PHD
NPI 1548585334
Psychologist - Clinical in Fairfax, VA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Susan Etkind reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfax, VA 22030
- Reassigned Medicare billing, District of Columbia enrollment
Fairfax, VA 22030
- Reassigned Medicare billing, District of Columbia enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Susan Etkind's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Etkind reassigns Medicare benefits to 2 organizations: Virginia Psychological Solutions PLLC (Fairfax, VA) and Clinical Psychology Services PC (Fairfax, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Etkind's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Susan A Etkind, PSYD, PHD · NPI 1548585334
Clinical provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since April 5, 2010.
## Identity
- **NPI:** 1548585334 (Entity type: Individual)
- **Enumerated:** April 5, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 0810004926 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4339 ANDES DR, Fairfax, VA 22030-5360
- **Phone:** (301) 312-1003
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Virginia Psychological Solutions PLLC (NPI 1285371781, Fairfax, VA); Clinical Psychology Services PC (NPI 1194818054, Fairfax, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548585334) · Data from the CMS NPPES public registry.