NPI 1174493282 · live from the CMS NPI Registry
Sidney Allen, PsyD
Psychologist, Clinical in Fairfax, VA. National Provider Identifier 1174493282, active.
NPI record
| NPI | 1174493282 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 4023 Chain Bridge Rd Ste 7, Fairfax, VA 22030 |
| Practice phone | 571-520-5454 |
| Enumerated | November 5, 2025 |
| Last updated | November 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0810009184 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.