DR. KYLE STANDIFORD PSY.D.
NPI 1033568639
Psychologist - Clinical in Vienna, VA

Q: What is Kyle Standiford's NPI number?

The NPI number for Kyle Standiford is 1033568639. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Kyle Standiford's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kyle Standiford enrolled in Medicare?

No. Kyle Standiford has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kyle Standiford was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2016Opted out of Medicare · through Jun 26, 2028

360 MAPLE AVE W STE F, VIENNA, VA 22180(703) 938-0058 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Jun 11, 2020, Nov 3, 2016 (3 updates tracked since 2016).

On this page

About Dr. Kyle Standiford Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE STANDIFORD PSY.D. (NPI 1033568639) is an individual clinical provider in Vienna, Virginia, licensed in Virginia (0810006379) and active in the NPI registry since June 2016. He has opted out of Medicare through June 26, 2028 and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1033568639

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KYLE STANDIFORDCredential: PSY.D.

Location Address360 MAPLE AVE W STE FVienna, VA 22180-5614

Mailing Address360 Maple Ave W Ste FVienna, VA 22180-5614 · (703) 935-0058

Phone(703) 938-0058

Sole ProprietorYes

Enumeration DateJune 6, 2016

Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration

NPPES CertifiedJuly 20, 2020

✔ NPI 1033568639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810006379

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

360 MAPLE AVE W STE F, Vienna, VA 22180

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Secondary Practice Location 1

Location 16300 Stevenson Ave Ste BAlexandria, VA 22304-3554 · Phone (703) 935-0058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kyle Standiford Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 26, 2020 through June 26, 2028.

Opt-Out Effective DateJune 26, 2020

Opt-Out In Effect ThroughJune 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GOLDBERG & ASSOCIATES

Psychologist (Clinical)

360 MAPLE AVE W STE F
VIENNA, VA 22180

Fairfax County (703) 935-0058

DR. NOEL A GOLDBERG PSY.D.

Psychologist (Clinical)

360 MAPLE AVE W STE F
VIENNA, VA 22180

Fairfax County (703) 935-0058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Standiford's NPI number?

The NPI number for Kyle Standiford is 1033568639. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Kyle Standiford located?

Kyle Standiford practices at 360 Maple Ave W Ste F, Vienna, VA 22180. The listed phone number is (703) 938-0058.

What is Kyle Standiford's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kyle Standiford enrolled in Medicare?

No. Kyle Standiford has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyle Standiford was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.