Active NPI
Samantha Rose Waldvogel Kahl, PSYD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1144175035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810009000
- Practice address
- 2806 Hawthorne Ave # 2
Richmond, VA 23222-3523 - Phone
- (414) 559-1539
- NPI assigned
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810009000 | VA | Primary |
Addresses
Primary practice location
2806 Hawthorne Ave # 2
Richmond, VA 23222-3523
Mailing address
2806 Hawthorne Ave # 2
Richmond, VA 23222-3523
Phone (414) 559-1539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810009000 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1144175035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 HAWTHORNE AVE # 2",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232223523",
"telephone_number": "414-559-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 HAWTHORNE AVE # 2",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232223523",
"telephone_number": "414-559-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHL",
"first_name": "SAMANTHA ROSE",
"middle_name": "WALDVOGEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-04",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810009000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.