Kavana Behavioral Health LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

KAVANA BEHAVIORAL HEALTH LLC

Practice address

277 S Washington St Ste 210
#1025
Alexandria, VA 22314

Phone

(414) 324-8283

Fax

(571) 506-6004

NPI assigned

Dec 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Avital Y Deskalo, PH.D.NPI 1144637240

Title

Licensed Psychologist

Phone

(414) 324-8283

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avital Yael Deskalo, LP

  • Psychologist
  • Alexandria, VA
  • NPI 1144637240
  NPD Authorized official

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1609644087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 S WASHINGTON ST, SUITE 210, #1025",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144127",
            "telephone_number": "703-249-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 S WASHINGTON ST STE 210",
            "address_2": "#1025",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "414-324-8283",
            "fax_number": "571-506-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "DESKALO",
        "authorized_official_first_name": "AVITAL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-324-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Kaufman-Green, MD
• Katherine Leah Kaufman, OTR/L
• Keith A Kaufman, PHD
• Kristopher Jon Kaufman, M.D.
• Hanna Leigh Kavalsky, M.S., CF-SLP
• Daniel Dean Kawecki
• Kay Home Health Care Services LLC
• Kayley Dental PLLC
• Aeliya Kazmi, M.D.
• Kazuko K Price MD LTD

• Clinical Child & Adolescent Psychologist in Alexandria, VA
• Providers in Alexandria, 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 4, 2024; 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.