Individual provider Active NPI

David L Kupfer, PH.D.

  • Clinical Psychologist
  • Falls Church, VA
National Provider Identifier
1023085057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001026 Issued in VA
Practice address
7700 Leesburg Pike
#404
Falls Church, VA 22043-2615
Phone
(703) 821-8990
Fax
(703) 821-8990
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0810001026 VA Primary

Addresses

Primary practice location

7700 Leesburg Pike
#404
Falls Church, VA 22043-2615

Mailing address

7700 Leesburg Pike
#404
Falls Church, VA 22043-2615
Phone (703) 821-8990

Other identifiers 1

IdentifierTypeStateIssuer
7734174MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023085057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "#404",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-821-8990",
            "fax_number": "703-821-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "#404",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-821-8990",
            "fax_number": "703-821-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFER",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7734174",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.