Active NPI
Fred M. Kerman
- Clinical Psychologist
- Oakton, VA
National Provider Identifier
1790990950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1131
- Practice address
- 2915 Hunter Mill Rd Ste 12
Oakton, VA 22124-1716 - Phone
- (703) 281-5898
- Fax
- (703) 281-4659
- NPI assigned
- May 11, 2007
- Last updated
- Mar 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 1131 | VA | Primary |
Addresses
Primary practice location
2915 Hunter Mill Rd Ste 12
Oakton, VA 22124-1716
Mailing address
2915 Hunter Mill Rd Ste 12
Oakton, VA 22124-1716
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1131 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1790990950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 HUNTER MILL RD STE 12",
"city": "OAKTON",
"state": "VA",
"postal_code": "221241716",
"fax_number": "703-281-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 HUNTER MILL RD STE 12",
"city": "OAKTON",
"state": "VA",
"postal_code": "221241716",
"telephone_number": "703-281-5898",
"fax_number": "703-281-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERMAN",
"first_name": "FRED",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "1131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.