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Active NPI 1124508270 Individual Practitioner Male Practitioner

Dr. Kyle Johnson , PhD, NCSP

Psychologist - Clinical • Reston, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Johnson, PhD, NCSP is a registered healthcare professional specializing in Psychologist - Clinical in Reston, VA. Practice services are available at 11307 SUNSET HILLS RD STE B4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11307 Sunset Hills Rd Ste B4

Reston, VA 201905279

Telephone 4109147795

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
50 Specialists

Practicing in Reston, VA (2429 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License VA 0810005813

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1881116127

Registered Art Therapist - Board Certified, LCAT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2018

Registered at 11307 SUNSET HILLS RD STE B4, RESTON, VA 201905279 (Tel: 4109147795)

📍
Updated Business Mailing Address August 17, 2018

Registered at 1815 WATCH HOUSE CIR S, SEVERN, MD 211445015 (Tel: 2059991726)

👤
Provider Name / Credentials Updated August 17, 2018

Recorded as KYLE JOHNSON, PH.D., NCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2018

Psychologist (License #0810005813 in VA)

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Initial NPI Registration & Enumeration August 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124508270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2018
Last Update: August 17, 2018
Sole Proprietor: Yes

Mailing Address

1815 Watch House Cir S

Severn, MD 211445015

Phone: 2059991726

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.