DR. SARUNPORN (JAY) SIRIKIETSOONG PSY.D.
NPI 1871802314
Psychologist in Springfield, VA

Active since October 01, 2010PECOS Enrolled
6120 BRANDON AVE STE 315, SPRINGFIELD, VA 22150(541) 514-9884 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1871802314
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SARUNPORN (JAY) SIRIKIETSOONGCredential: PSY.D.
Location Address6120 BRANDON AVE STE 315Springfield, VA 22150-2504
Mailing Address6120 Brandon Ave Ste 315Springfield, VA 22150-2504 · (703) 283-3325
Sole ProprietorYes
Enumeration DateOctober 1, 2010
Last NPPES UpdateJune 5, 2019
NPI 1871802314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 0810006183
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
6120 BRANDON AVE STE 315, Springfield, VA 22150

Medicare Participation & PECOS CMS

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

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).

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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
6120 BRANDON AVE STE 315
SPRINGFIELD, VA 22150

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.

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.