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DR. KIM ALLISON BULLOCK M.D.
NPI 1609287473
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mclean, VA

Active since May 15, 2014PECOS Enrolled
1307 DOLLEY MADISON BLVD, SUITE 3-C, MCLEAN, VA 22101(703) 790-9622 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kim Allison Bullock M.d. NPPES

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

DR. KIM ALLISON BULLOCK M.D. (NPI 1609287473) is an individual child & adolescent psychiatry provider in Mclean, Virginia, licensed in Virginia (0101054045) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609287473
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KIM ALLISON BULLOCKCredential: M.D.
Location Address1307 DOLLEY MADISON BLVD, SUITE 3-CMclean, VA 22101
Mailing Address1307 Dolley Madison Blvd, Suite 3-cMclean, VA 22101 · (703) 790-9622 · Fax (703) 734-7962
Phone(703) 790-9622
Sole ProprietorYes
Enumeration DateMay 15, 2014
✔ NPI 1609287473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in VA · 0101054045
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0101054045 (VA)
1307 DOLLEY MADISON BLVD, Mclean, VA 22101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Allison Bullock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

CHRISTEN M KERR MD
Psychiatry & Neurology (Psychiatry)
1307 DOLLEY MADISON BLVD, SUITE 3C
MC LEAN, VA 22101
Fairfax County (703) 734-7961
DR. JOAN ADELE TURKUS M.D.
Psychiatry & Neurology (Psychiatry)
1307 DOLLEY MADISON BLVD, SUITE 3C
MCLEAN, VA 22101
Fairfax County (703) 893-3499
DR. CATHERINE LAPP MCCARTHY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1307 DOLLEY MADISON BLVD, SUITE 3C
MCLEAN, VA 22101
Fairfax County (703) 288-3535

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 Kim Bullock's NPI number?

The NPI number for Kim Bullock is 1609287473. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Kim Bullock located?

Kim Bullock practices at 1307 Dolley Madison Blvd Suite 3-C, Mclean, VA 22101. The listed phone number is (703) 790-9622.

What is Kim Bullock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kim Bullock enrolled in Medicare?

Yes. Kim Bullock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Bullock was last updated on May 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.