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NPI Code Detail

MEDICARE: DR. JUAN CARLOS SILVA PH.D.

MEDICARE: DR. JUAN CARLOS SILVA PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist3932MD
2103TC0700XClinical Psychologist0810003949VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2H951OTHERMDPROVIDER ID FOR CAREFIRST

General Provider Information

NPI Number : 1932325685
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN CARLOS SILVA PH.D.
Provider Business Mailing Address
First Line : 3621 BUCKEYE CT
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-1233
Country : US
Telephone Number : 301-984-8444
Fax Number : 301-984-9393
Provider Business Practice Location Address
First Line : 720 N SAINT ASAPH ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1912
Country : US
Telephone Number : 703-746-3485
Fax Number : 703-746-3464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 01/20/2026

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