Sarunporn (Jay) Sirikietsoong, PSY.D.
NPI 1871802314ActiveIndividual· Psychologist· Springfield, VA
Psychologist (PSY.D.) in Springfield, Virginia, licensed in VA, with an NPI issued in October 2010. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1871802314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 1, 2010 |
| Last updated in NPPES | Jun 5, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 0810006183 | VA |
| Clinical Neuropsychologist | 103G00000X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (DC) |
|---|
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