Individual provider Active NPI

Kristin Oscar Zauel, PH.D.

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1497708424
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004657 Issued in VA
Practice address
4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622
Phone
(571) 328-7408
NPI assigned
May 19, 2006
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1001055 DC
Clinical Psychologist 103TC0700X 0810004657 VA Primary

Addresses

Primary practice location

4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622

Mailing address

7504 S Valley Dr
Fairfax Station, VA 22039-2963
Phone (703) 440-5739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY1001055DCMDClinical Psychologist
0810004657VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Health LLC CurrentSince Oct 29, 2023 Accepting new patients
Psychology Services of Idaho, PLLC Clinical Past Accepting new patients

Locations

4401 Fairfax Dr
Ste 205
Arlington, VA 22203
Phone (571) 328-7408

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1497708424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 S VALLEY DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392963",
            "telephone_number": "703-440-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FAIRFAX DR STE 205",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031622",
            "telephone_number": "571-328-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUEL",
        "first_name": "KRISTIN",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001055",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.