Active NPI
Keith a. Kaufman, PH.D., PLLC
- Clinical Psychologist
- Alexandria, VA
National Provider Identifier
1821402801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004267
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Psychologist
- Alexandria, VA
- NPI 1952742025
-
- Psychologist
- Alexandria, VA
- NPI 1285833830
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.