Individual provider Active NPI

Alan Frank Kleinkopf, PSY.D.

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1003849860
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001231 Issued in VA
Practice address
5315 Cutshaw Ave
Richmond, VA 23226-1105
Phone
(804) 282-1331
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001231 VA Primary

Addresses

Primary practice location

5315 Cutshaw Ave
Richmond, VA 23226-1105

Mailing address

5315 Cutshaw Ave
Richmond, VA 23226-1105

Other identifiers 1

IdentifierTypeStateIssuer
028286OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000302 VA Practitioner - Clinical Psychologist 4880887595 Practice locations: Richmond, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5315 Cutshaw Ave
Richmond, VA 23226-1105
Phone (804) 282-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810001231VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychiatric & Counseling Associates PC PastSince Nov 20, 1991 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204934400000",
    "number": "1003849860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 CUTSHAW AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 CUTSHAW AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261105",
            "telephone_number": "804-282-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINKOPF",
        "first_name": "ALAN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "028286",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.