Kathryn Pamela Wilder Schaaf, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004502 Issued in VA

Practice address

5101 Monument Ave Ste 103
Richmond, VA 23230-3621

Phone

(804) 596-0794

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richmond Cognitive Behavioral Treatment Center, LLC

  • Adult Mental Health Clinic/Center
  • Richmond, VA
  • NPI 1457056087
  NPD Authorized official

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1659632081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MONUMENT AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303621",
            "telephone_number": "804-596-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MONUMENT AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303621",
            "telephone_number": "804-596-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER SCHAAF",
        "first_name": "KATHRYN",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter T Wilbanks, M.D.
• Marie A Wilborn, CRNA
• Lylarose Adele Wilby, DDS
• Julie M Wilcox, LCSW
• Michael R Wild, D.C.
• Anna Wilder, PA-C
• Tamara M Wildgoose, PHD
• Glen R Wilensky, DPM
• Hillary Wiles-Lafayette
• Anita M Wiles, LCSW, COTP

• 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 Apr 3, 2023; 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.