Active NPI
Brian Kiernan, PH.D.
- Clinical Psychologist
- Troy, VA
National Provider Identifier
1235336801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002196
- Practice address
- 128 Oakland Farm Way
Troy, VA 22947 - Phone
- (434) 293-9059
- NPI assigned
- Jun 28, 2007
- Last updated
- Feb 25, 2010
- Sex
- Male
- 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 | 0810002196 | VA | Primary |
Addresses
Primary practice location
128 Oakland Farm Way
Troy, VA 22947
Mailing address
220 Carrsbrook Dr
Charlottesville, VA 22901-1004
Phone (540) 332-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313000508 | VA | Practitioner - Clinical Psychologist | 5991226466 | Practice locations: Charlottesville, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
513 E Main St
Unit 714
Charlottesville, VA 22902-1828
Phone (434) 825-8427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1235336801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CARRSBROOK DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011004",
"telephone_number": "540-332-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 OAKLAND FARM WAY",
"city": "TROY",
"state": "VA",
"postal_code": "22947",
"telephone_number": "434-293-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "BRIAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.