Karen Kingsley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001562 Issued in VA

Legal business name

KAREN KINGSLEY, PH.D.

Practice address

22563 Forest Manor Dr
Ashburn, VA 20148-6900

Phone

(703) 723-9404

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen Kingsley, PH.D.NPI 1508121823

Title

Clinical Psychologist

Phone

(703) 723-9404

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Kingsley, PH.D.

  • Clinical Psychologist
  • Ashburn, VA
  • NPI 1508121823
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144360157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22563 FOREST MANOR DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486900",
            "telephone_number": "703-723-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22563 FOREST MANOR DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486900",
            "telephone_number": "703-723-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN KINGSLEY, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-723-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.