Jelena Kecmanovic, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004572 Issued in VA

Practice address

2311 Wilson Blvd FL 3
Arlington, VA 22201-5436

Phone

(202) 557-5174

NPI assigned

May 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 4, 2020 through Sep 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Arlington DC Behavior Therapy Institute

  • Cognitive & Behavioral Psychologist
  • Arlington, VA
  • NPI 1235601584
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1104185776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 41ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161708",
            "telephone_number": "202-557-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 WILSON BLVD FL 3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015436",
            "telephone_number": "202-557-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECMANOVIC",
        "first_name": "JELENA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie G Kaufmann, FNP
• Rachel Norsworthy Kaufmann, L.C.M.H.C
• Mehtab Kaur, M.A, NCC
• Kaveh Parvaresh, M.D., P.C.
• Kathryn Margaret Kearney, PA-C
• Christine Elise Kehrli, PA-C
• Karly Keil, DPT
• Graham Keir
• Keith Schreffler DC, LLC. (Schreffler Chiropractic)
• Erin Kelley, PH.D.

• Clinical Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.