Individual provider Active NPI

Elizabeth A Kemp, PHD

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1396794376
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
986 Issued in AL
Practice address
3504 Vann Road
Ste 100, Grayson & Associates PC
Birmingham, AL 35235
Phone
(205) 655-0585
Fax
(205) 655-0586
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 986 AL Primary

Addresses

Primary practice location

3504 Vann Road
Ste 100, Grayson & Associates PC
Birmingham, AL 35235

Mailing address

85 Sangers LN
Staunton, VA 24401-6712
Phone (540) 887-3200

Other identifiers 2

IdentifierTypeStateIssuer
890006820MedicaidAL
051098178OtherALBCBS OF AL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906002433 VA Practitioner - Clinical Psychologist 5294915120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
986ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Community Services Board CurrentSince Jun 28, 2017 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

85 Sangers Ln
Staunton, VA 24401
Phone (540) 887-3200

85 Sangers Ln
Ste 1
Staunton, VA 24401

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396794376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SANGERS LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016712",
            "telephone_number": "540-887-3200",
            "fax_number": "540-887-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 VANN ROAD",
            "address_2": "STE 100, GRAYSON & ASSOCIATES PC",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-655-0585",
            "fax_number": "205-655-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890006820",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051098178",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.