DR. KRISTIN WILLERT PSYD
NPI 1912520842
Psychologist - Clinical in Ashburn, VA

Q: What is Kristin Willert's NPI number?

The NPI number for Kristin Willert is 1912520842. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Kristin Willert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristin Willert was last updated on July 27, 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 May 27, 2020

44075 PIPELINE PLZ STE 300, ASHBURN, VA 20147(815) 793-3787 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2020, May 27, 2020 (2 updates tracked since 2020).

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About Dr. Kristin Willert Psyd NPPES

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

DR. KRISTIN WILLERT PSYD (NPI 1912520842) is an individual clinical provider in Ashburn, Virginia, licensed in Maryland (06355) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1912520842

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KRISTIN WILLERTCredential: PSYD

Location Address44075 PIPELINE PLZ STE 300Ashburn, VA 20147-5889

Mailing Address14044 Chestnut CtLaurel, MD 20707-5873 · (651) 808-8688

Phone(815) 793-3787

Sole ProprietorNo

Enumeration DateMay 27, 2020

Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1912520842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MD · 06355✔ Licensed in TX · 36042

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.

44075 PIPELINE PLZ STE 300, Ashburn, VA 20147

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Other Providers at the Same Location NPPES 16

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

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