Healthcare Provider Details

I. General information

NPI: 1841416518
Provider Name (Legal Business Name): MIA FOLEY SYPECK PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CONNECTICUT AVE NW SUITE 402
WASHINGTON DC
20008-2509
US

IV. Provider business mailing address

3000 CONNECTICUT AVE NW SUITE 402
WASHINGTON DC
20008-2509
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-3836
  • Fax:
Mailing address:
  • Phone: 202-234-3836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1000324
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810003588
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1000324
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number0810003588
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1000324
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003588
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1000324
License Number StateDC
# 8
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number0810003588
License Number StateVA
# 9
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number1000324
License Number StateDC
# 10
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number0810003588
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: