Thomas Knedler, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003861 Issued in VA

Practice address

8348 Traford LN
Suite 102
Springfield, VA 22152-1663

Phone

(703) 569-8731

Fax

(703) 569-7248

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Associated Clinical Services

  • Clinical Psychologist
  • Springfield, VA
  • NPI 1073522124
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1518154830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LN",
            "address_2": "SUITE 102",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521663",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LN",
            "address_2": "SUITE 102",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521663",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEDLER",
        "first_name": "THOMAS",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kirkpatrick
• Robert H Kitchen Jr., MD
• Areerat Kitijarurat
• Francesca Klahr, RN, IBCLC
• Julia Klynstra
• Ellen Julie Knowles, M.A., CCC-SLP
• Henry Donald Knox, MD
• Lorena Yuvette Knox
• Stephanie Koch, MA CF-SLP
• Emily Anne Kohut, RBT

• Clinical Psychologist in Springfield, VA
• Providers in Springfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.