Individual provider Active NPI

Kara E Ditto, M.D.

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1114917754
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101234072 Issued in VA
Practice address
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Phone
(800) 442-8938
NPI assigned
Oct 25, 2005
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C169234 CA
Psychiatry Physician 2084P0800X 0101234072 VA Primary

Addresses

Primary practice location

1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953

Mailing address

1120 Route 73 Ste 300
Mount Laurel, NJ 08054-5113
Phone (800) 442-8938

Other identifiers 1

IdentifierTypeStateIssuer
010006708MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221004003645 CA Practitioner - Psychiatry 9537260872
I20221111001803 GA Practitioner - Psychiatry 9537260872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C169234CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucker Psychiatric Clinic Inc. Psychiatry Past Accepting new patients
Inpathy Behavioral Healthcare Group PC Psychiatry Past Accepting new patients
Mindstrong Health Services, PC Psychiatry PastSince Feb 26, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kara.ditto.1@24284.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1114917754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROUTE 73 STE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545113",
            "telephone_number": "800-442-8938",
            "fax_number": "856-861-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014953",
            "telephone_number": "800-442-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTO",
        "first_name": "KARA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C169234",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101234072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010006708",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.