DR. SARUNPORN (JAY) SIRIKIETSOONG PSY.D.
NPI 1871802314
Psychologist in Springfield, VA
About Dr. Sarunporn (jay) Sirikietsoong Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SARUNPORN (JAY) SIRIKIETSOONG PSY.D. (NPI 1871802314) is an individual psychologist in Springfield, Virginia, licensed in Virginia (0810006183) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sarunporn (jay) Sirikietsoong Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sarunporn (jay) Sirikietsoong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alexandria, VA 22304
- Reassigned Medicare billing, District of Columbia enrollment
- 6 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.
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 Sarunporn (jay) Sirikietsoong's NPI number?
The NPI number for Sarunporn (jay) Sirikietsoong is 1871802314. It was assigned to this individual provider in the NPPES registry on October 1, 2010.
Where is Sarunporn (jay) Sirikietsoong located?
Sarunporn (jay) Sirikietsoong practices at 6120 Brandon Ave Ste 315, Springfield, VA 22150. The listed phone number is (541) 514-9884.
What is Sarunporn (jay) Sirikietsoong's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Sarunporn (jay) Sirikietsoong enrolled in Medicare?
Yes. Sarunporn (jay) Sirikietsoong is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sarunporn (jay) Sirikietsoong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarunporn (jay) Sirikietsoong reassigns Medicare benefits to Potomac Center Inc (Alexandria, VA). The 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 Sarunporn (jay) Sirikietsoong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sarunporn (jay) Sirikietsoong accept?
Health plans from Oscar Health list Sarunporn (jay) Sirikietsoong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sarunporn (jay) Sirikietsoong was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.