Organization Active NPI

Keith a. Kaufman, PH.D., PLLC

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1821402801
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004267 Issued in VA
Legal business name
KEITH A. KAUFMAN, PH.D., PLLC
Practice address
803 Franklin St
Alexandria, VA 22314-4105
Phone
(703) 836-3217
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Dr. Keith Andrew Kaufman, PH.D.NPI 1952742025
Title
Licensed Clinical Psychologist
Phone
(703) 836-3217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810004267 VA Primary

Addresses

Primary practice location

803 Franklin St
Alexandria, VA 22314-4105

Mailing address

803 Franklin St
Alexandria, VA 22314-4105
Phone (703) 836-3217

National Provider Directory

National Provider Directory

Locations

803 Franklin St
Alexandria, VA 22314
Phone (703) 548-3384

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1821402801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 FRANKLIN ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144105",
            "telephone_number": "703-836-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 FRANKLIN ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144105",
            "telephone_number": "703-836-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. KAUFMAN, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-836-3217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.