1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Psychologist
  6. NPI Profile

BETTINA KANITZ
NPI 1578667770
Psychologist - Clinical in Fairfax, VA

Active since September 11, 2006Opted out of Medicare · through Apr 1, 2028
4080 CHAIN BRIDGE RD, FAIRFAX, VA 22030(703) 246-3457(703) 273-9074 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bettina Kanitz NPPES

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

BETTINA KANITZ (NPI 1578667770) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810000303) and active in the NPI registry since September 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578667770
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameBETTINA KANITZ
Location Address4080 CHAIN BRIDGE RDFairfax, VA 22030-4018
Mailing Address4080 Chain Bridge RoadFairfax, VA 22030 · (703) 246-3457 · Fax (703) 273-9074
Phone(703) 246-3457
Fax(703) 273-9074
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578667770 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 · 0810000303
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.
4080 CHAIN BRIDGE RD, Fairfax, VA 22030
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bettina Kanitz 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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. DONALD F STEWART M.D.
Preventive Medicine (Occupational Medicine)
4080 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 246-4949
MRS. NANCY KANE CROSS PA-C
Physician Assistant
4080 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 246-4992
FAUZIA H. ABBASI M.D, M.P.H.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4080 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 246-4949
DR. ERIKA FRANTZ MADISON PH.D.
Psychologist (Clinical)
4080 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 246-3484

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 Bettina Kanitz's NPI number?

The NPI number for Bettina Kanitz is 1578667770. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Bettina Kanitz located?

Bettina Kanitz practices at 4080 Chain Bridge Rd, Fairfax, VA 22030. The listed phone number is (703) 246-3457.

What is Bettina Kanitz's specialty?

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

Is Bettina Kanitz enrolled in Medicare?

No. Bettina Kanitz has opted out of Medicare through April 1, 2028. 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 Bettina Kanitz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.