Active NPI
Keith Eugene Saylor
- Psychologist
- Herndon, VA
National Provider Identifier
1255755294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810002257
- Practice address
- 106 Elden St
Suite 17
Herndon, VA 20170-4872 - Phone
- (703) 787-9090
- Fax
- (703) 787-8845
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810002257 | VA | Primary |
Addresses
Primary practice location
106 Elden St
Suite 17
Herndon, VA 20170-4872
Mailing address
106 Elden St
Suite 17
Herndon, VA 20170-4872
Phone (703) 787-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002257 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Herndon, VA
- NPI 1669983128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1255755294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ELDEN ST",
"address_2": "SUITE 17",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704872",
"telephone_number": "703-787-9090",
"fax_number": "703-787-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ELDEN ST",
"address_2": "SUITE 17",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704872",
"telephone_number": "703-787-9090",
"fax_number": "703-787-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYLOR",
"first_name": "KEITH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810002257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.