Active NPI
Krista Jana, PH.D.
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1386964161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003769
- Practice address
- 700 Harris St Ste 201
Charlottesville, VA 22903-4584 - Phone
- (434) 227-6631
- NPI assigned
- Jun 3, 2010
- 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 | 0810003769 | VA | Primary |
Addresses
Primary practice location
700 Harris St Ste 201
Charlottesville, VA 22903-4584
Mailing address
700 Harris St Ste 201C
Charlottesville, VA 22903-4584
Phone (434) 227-6631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810003769 | Other | VA | LICENSE TO PRACTICE PSYCHOLOGY |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003769 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1386964161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HARRIS ST STE 201C",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034584",
"telephone_number": "434-227-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HARRIS ST STE 201",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034584",
"telephone_number": "434-227-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANA",
"first_name": "KRISTA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE TO PRACTICE PSYCHOLOGY",
"identifier": "0810003769",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.