Kimberly Wesley

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006210 Issued in VA

Practice address

5244 Lyngate CT # 200
Burke, VA 22015-1631

Phone

(703) 910-2577

NPI assigned

Nov 19, 2015

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Credence Behavioral Health PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Lynchburg, VA
  • NPI 1912692096
  Medicare reassignment NPD

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1174997712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT # 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-910-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT # 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-910-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Howard Weisshaar, M.D.
• Paula S Weisshaar, MSW, LCSW
• Sandra Ann Wells, MSN RN CNS
• Erica E Werfel, LCSW, LCSW-C, LICSW
• Sandra Werfel, MSW
• Deniz Alkin Westbrook, NP
• Kristyn Wharton, ATC
• Jennifer Shane Whitaker
• Eric Paul White, PHARMACIST
• William a Wilson MD PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.