Individual provider Active NPI

Patricia Velkoff, PH.D.

  • Clinical Psychologist
  • Vienna, VA
National Provider Identifier
1831276179
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001677 Issued in VA
Practice address
243 Church St NW
Suite 300-a
Vienna, VA 22180-4434
Phone
(703) 938-6100
Fax
(703) 938-8393
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001677 VA Primary

Addresses

Primary practice location

243 Church St NW
Suite 300-a
Vienna, VA 22180-4434

Mailing address

243 Church St NW
Suite 300-a
Vienna, VA 22180-4434
Phone (703) 938-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

243 Church Street NW
Suite 300a
Vienna, VA 22180-4437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001677VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1831276179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 300-A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-938-6100",
            "fax_number": "703-938-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 300-A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-938-6100",
            "fax_number": "703-938-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELKOFF",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.