Kathleen Ross-Kidder, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0810004382 Issued in VA

Practice address

763 Madison Rd
Suite 206
Culpeper, VA 22701-3380

Phone

(540) 727-1144

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1396961504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 MADISON RD",
            "address_2": "SUITE 206",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013380",
            "telephone_number": "540-727-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 MADISON RD",
            "address_2": "SUITE 206",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013380",
            "telephone_number": "540-727-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-KIDDER",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0803000074",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810004382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Robinson
• Samantha Robson, OTR
• Isabel Romero Morales, MRS
• Britanie L Rose, FNP
• Zia Roshandel, M.D.
• Lauren Rothgeb
• Susan Elizabeth Rowzie, LABOR DOULA, CD DONA
• Nilima Runwal
• Josephine J Russell, C FNP
• Sarah E. Russell, FNP

• Clinical Child & Adolescent Psychologist in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.