DR. MARCIA BONNIE KAUFMAN PH.D.
NPI 1306817994
Psychologist in Vienna, VA

Active since January 31, 2006Opted out of Medicare · through Feb 8, 2027
115 PARK ST SE, SUITE 207, VIENNA, VA 22180(703) 938-9090(703) 938-9091 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marcia Bonnie Kaufman Ph.d. NPPES

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

DR. MARCIA BONNIE KAUFMAN PH.D. (NPI 1306817994) is an individual psychologist in Vienna, Virginia, licensed in Virginia (VA0810004426) and active in the NPI registry since January 2006. She has opted out of Medicare through February 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306817994
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARCIA BONNIE KAUFMANCredential: PH.D.
Location Address115 PARK ST SE, SUITE 207Vienna, VA 22180-4653
Mailing Address115 Park St Se, Suite 207Vienna, VA 22180-4653 · (703) 938-9090 · Fax (703) 938-9091
Fax(703) 938-9091
Sole ProprietorYes
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 8, 2011
NPI 1306817994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in VA · VA0810004426 Licensed in PA · PS006137L Licensed in DC · PSY1000608
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
115 PARK ST SE, Vienna, VA 22180

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. Marcia Bonnie Kaufman Ph.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 February 8, 2017 through February 8, 2027.

Opt-Out Effective DateFebruary 8, 2017
Opt-Out In Effect ThroughFebruary 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 19

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

Family Medicine
115 PARK ST SE, SUITE 300
VIENNA, VA 22180
Physical Therapist
115 PARK ST SE, SUITE 206
VIENNA, VA 22180
Internal Medicine
115 PARK ST SE, SUITE 300
VIENNA, VA 22180
Dentist
115 PARK ST SE, SUITE 201
VIENNA, VA 22180
Nurse Practitioner (Family)
115 PARK ST SE, STE 300
VIENNA, VA 22180
Psychologist (Clinical)
115 PARK ST SE
VIENNA, VA 22180
Family Medicine
115 PARK ST SE, SUITE 300
VIENNA, VA 22180
Clinic/Center (Radiology)
115 PARK ST SE, STE 203
VIENNA, VA 22180

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 Marcia Kaufman's NPI number?

The NPI number for Marcia Kaufman is 1306817994. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Marcia Kaufman located?

Marcia Kaufman practices at 115 Park St SE Suite 207, Vienna, VA 22180. The listed phone number is (703) 938-9090.

What is Marcia Kaufman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Marcia Kaufman enrolled in Medicare?

No. Marcia Kaufman has opted out of Medicare through February 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marcia Kaufman was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.