Active NPI
Keelah Voll, PSY.D.
- Clinical Psychologist
- Aldie, VA
National Provider Identifier
1649608233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005502
- Practice address
- 24413 Moon Glade CT
Aldie, VA 20105-3146 - Phone
- (571) 626-8422
- NPI assigned
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005502 | VA | Primary |
Addresses
Primary practice location
24413 Moon Glade CT
Aldie, VA 20105-3146
Mailing address
8401 Mayland Dr Ste a
Richmond, VA 23294-4648
Phone (571) 626-8422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005502 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1649608233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 MAYLAND DR STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944648",
"telephone_number": "571-626-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24413 MOON GLADE CT",
"city": "ALDIE",
"state": "VA",
"postal_code": "201053146",
"telephone_number": "571-626-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLL",
"first_name": "KEELAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aldie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.