Jordan M. Kilgour Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003644 Issued in VA

Practice address

6718 Patterson Ave
Richmond, VA 23226-3419

Phone

(804) 282-5644

Fax

(804) 285-0006

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 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

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Richmond Assessment and Referral, a Professional Limited Company

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1497987101
  NPD (past) Authorized official
• Jewish Family Services, Inc

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1205823853
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1609062900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-5644",
            "fax_number": "804-285-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-5644",
            "fax_number": "804-285-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGOUR",
        "first_name": "JORDAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Kienzle-Pappalardo, LCSW
• Jeannette F Kierce, MD
• Zachary Kiernan, MD
• Benjamin H Kiesler, OTR/L
• Patricia Kiley, CRNA
• Abraham Killanin, MD, PHD
• Karen Leann Killeen, MD
• Tara Nicole Kilman, PMHNP
• Alexis Jaeyeon Kim, MD
• Andrew Seung-Eun Kim, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.