KB PSYCHOLOGICAL SERVICES, LLC


Address: 7001 Heritage Village Plz Ste 230, Gainesville, VA 20155-3095
Phone: 5714889840

KB PSYCHOLOGICAL SERVICES, LLC (NPI# 1841790961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841790961
Entity Type Organization
Organization Name KB PSYCHOLOGICAL SERVICES, LLC
Practice Address 7001 Heritage Village Plz Ste 230
Gainesville
VA 20155-3095
Practice Telephone 5714889840
Practice Fax Number 5714889841
Mailing Telephone 5714889840
Mailing Fax Number 5714889841
Enumeration Date 2018-02-15
Last Update Date 2018-02-15
Authorized Official Name KATHLEEN ALICE BARRETT (LICENSED CLINCAL PSYCHOLOGIST)
Authorized Official Telephone 5714889840
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
0810004667 VA Ambulatory Health Care Facilities

Office Location

Street Address 7001 HERITAGE VILLAGE PLZ STE 230
City GAINESVILLE
State VA
Zip Code 20155-3095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780920728 Kathleen Barrett Psychologist 7001 Heritage Village Plz Ste 230, Gainesville, VA 20155-3095 2012-12-19
1235749938 Klc Counseling Services, LLC Counselor 7001 Heritage Village Plz Ste 230, Gainesville, VA 20155-3095 2020-08-06
1932717188 Sandra Cristina Pinel-lopez Psychologist 7001 Heritage Village Plz Ste 230, Gainesville, VA 20155-3095 2020-07-14
1891245080 Cs Psychological Services Psychologist 7001 Heritage Village Plz Ste 230, Gainesville, VA 20155-3095 2016-10-11

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City GAINESVILLE
Zip Code 20155

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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