KATHARINA KIRCANSKI PHD
NPI 1205541109
Psychologist - Clinical in Vienna, VA

Q: What is Katharina Kircanski's NPI number?

The NPI number for Katharina Kircanski is 1205541109. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Q: What is Katharina Kircanski's specialty?

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

Q: Is Katharina Kircanski enrolled in Medicare?

No. Katharina Kircanski has opted out of Medicare through February 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 16, 2023Opted out of Medicare · through Feb 24, 2027

1595 SPRING HILL RD STE 520, VIENNA, VA 22182(703) 687-6610 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katharina Kircanski Phd NPPES

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

KATHARINA KIRCANSKI PHD (NPI 1205541109) is an individual clinical provider in Vienna, Virginia, licensed in Virginia (0810008052) and active in the NPI registry since January 2023. She has opted out of Medicare through February 24, 2027.

NPPES Registry Identity

NPI1205541109

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKATHARINA KIRCANSKICredential: PHD

Location Address1595 SPRING HILL RD STE 520Vienna, VA 22182-4101

Mailing Address6500 78th StCabin John, MD 20818-1309 · (401) 487-0580

Phone(703) 687-6610

Sole ProprietorNo

Enumeration DateJanuary 16, 2023

NPPES CertifiedJanuary 16, 2023

✔ NPI 1205541109 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 · 0810008052

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.

1595 SPRING HILL RD STE 520, Vienna, VA 22182

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katharina Kircanski Phd 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 February 24, 2023 through February 24, 2027.

Opt-Out Effective DateFebruary 24, 2023

Opt-Out In Effect ThroughFebruary 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

KATHERINE CARR PSYD

Psychologist (Clinical)