KB Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0810004667 Issued in VA

Legal business name

KB PSYCHOLOGICAL SERVICES, LLC

Practice address

7001 Heritage Village PLZ Ste 230
Gainesville, VA 20155-3095

Phone

(571) 488-9840

Fax

(571) 488-9841

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Kathleen Alice Barrett, PSY.D.

Title

Licensed Clincal Psychologist

Phone

(571) 488-9840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1841790961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553095",
            "telephone_number": "571-488-9840",
            "fax_number": "571-488-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553095",
            "telephone_number": "571-488-9840",
            "fax_number": "571-488-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "LICENSED CLINCAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "571-488-9840",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0810004667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pallavi Shah Kashyap, DO
• Daniel Katcher, M.D.
• Amandeep Kaur
• Loveneet Kaur, PA-S
• Palwinder Kaur, DDS
• Marilyn A Keeler, LPTA
• Sarah E Kelleher, PA-C
• Corinne Nicole Kelly, MS, OTR/L
• Hillary Kelsen, PHARMD
• Lisa H Kerrigan, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.