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DR. JAMES SEXTON PHD
NPI 1669944872
Psychologist - Clinical in Falls Church, VA

Active since December 28, 2018Opted out of Medicare · through Feb 4, 2028
400 N WASHINGTON ST, FALLS CHURCH, VA 22046(703) 447-4730 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Dec 28, 2018 (2 updates tracked since 2018).

About Dr. James Sexton Phd NPPES

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

DR. JAMES SEXTON PHD (NPI 1669944872) is an individual clinical provider in Falls Church, Virginia, licensed in Virginia (0810004398) and active in the NPI registry since December 2018. He has opted out of Medicare through February 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669944872
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES SEXTONCredential: PHD
Location Address400 N WASHINGTON STFalls Church, VA 22046-3452
Mailing Address6609 16th St NArlington, VA 22205-1837 · (170) 344-7473
Phone(703) 447-4730
Sole ProprietorYes
Enumeration DateDecember 28, 2018
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1669944872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810004398
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.
400 N WASHINGTON ST, Falls Church, VA 22046
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James Sexton Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 4, 2020 through February 4, 2028.

Opt-Out Effective DateFebruary 4, 2020
Opt-Out In Effect ThroughFebruary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22046 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.

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 James Sexton's NPI number?

The NPI number for James Sexton is 1669944872. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is James Sexton located?

James Sexton practices at 400 N Washington St, Falls Church, VA 22046. The listed phone number is (703) 447-4730.

What is James Sexton's specialty?

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

Is James Sexton enrolled in Medicare?

No. James Sexton has opted out of Medicare through February 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Sexton was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.