NPPES file of Aug 9, 2026

Jack Kitaeff, PH.D.

Clinical Psychologist · Fairfax, VA

Jack Kitaeff, PH.D. is a clinical psychologist with a practice address in Fairfax, Virginia, and NPI 1518300201, issued on Apr 11, 2013. Check the license (Virginia 1070, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1518300201
Name
Jack Kitaeff
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
1070 VA
Self-reported in NPPES; status is on the state search
Practice location
10560 Main St, Fairfax, VA 22030
Phone
(703) 349-2999
Enumerated
Apr 11, 2013
Record last updated
Sep 29, 2016 (not updated in 10 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20171114003674); accepts Medicare assignment
Medical or professional school
University Of Mississippi School Of Medicine, 1978
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 2,329 in Virginia → Look up another NPI →

Also registered at 10560 Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Melissa Addessi, LPCMental Health Counselor1154161305
  2. Mary Anderson, LCSWClinical Social Worker1750403986
  3. Stephanie Beguin-Howard, LCSW, RPTClinical Social Worker1568818680
  4. Elizabeth Berendt, PSY.D.Clinical Psychologist1467586578
  5. Heidi Blattel-Brennan, MSWClinical Social Worker1902929656
  6. Barry Burijon, PHDPsychologist1134176027

Verify Jack Kitaeff in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Virginia board licenses this profession
    Search for license 1070    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Clinical Psychology Services PCFairfax, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jack Kitaeff among 2,329 clinical psychologist records in Virginia

Jack Kitaeff, PH.D. is one of 2,329 clinical psychologist records with a practice address in Virginia. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 59% of them.

  • NPI issued2013 · 59% of these records are older, 37% newer
  • In a Medicare fileYes · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 19% of these records are
  • Graduated1978 · median 2003 among the 442 with a school on file
  • Record last updated2016 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

137 clinical psychologist records list a practice address in Fairfax

They are 137 of the 6,584 NPPES records with a practice address in Fairfax, and 2,329 clinical psychologist records in Virginia.

All 2,329 in Virginia → Every provider in Fairfax → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Kerry Altman, PH.D.Fairfax, VA 220301255333944
  2. R. Mark Binderman, PH.D.Fairfax, VA 220301952325631
  3. Lee Chase, PH.D.Fairfax, VA 220301861493520
  4. Victor Elion, PHDFairfax, VA 220301154359016
  5. Rebecca Fleischer, PSY.D.Fairfax, VA 220301881622975
  6. J Lawrence Jamieson, PH.D.Fairfax, VA 220301881695518
  7. Brian Levine, PSYDFairfax, VA 220301619997855
  8. Erika Madison, PH.D.Fairfax, VA 220301346358074

Common questions

What is Jack Kitaeff, PH.D.'s NPI number?

Jack Kitaeff, PH.D.'s National Provider Identifier (NPI) is 1518300201, issued on Apr 11, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Jack Kitaeff, PH.D. located?

The NPPES record lists a practice address at 10560 Main St, Fairfax, VA, 22030. Phone: (703) 349-2999. Providers update this record themselves, so call before visiting.

How can I verify Jack Kitaeff, PH.D.'s license?

NPPES lists Virginia license number 1070, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.