Jack Kitaeff, PH.D.
NPI 1518300201 · Clinical Psychologist · Fairfax, VA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Kitaeff, PH.D. is a Clinical Psychologist provider in Fairfax, VA (NPI 1518300201).
Provider details
- NPI number
- 1518300201
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1070 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2016-09-29
Frequently asked questions
- What is Jack Kitaeff's NPI number?
- Jack Kitaeff's National Provider Identifier (NPI) is 1518300201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Kitaeff's specialty?
- Jack Kitaeff is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jack Kitaeff located?
- Jack Kitaeff's practice location on file with NPPES is 10560 Main St, Fairfax, VA 22030-7182.
- What is Jack Kitaeff's phone number?
- The practice phone number listed in the NPPES registry for Jack Kitaeff is (703) 349-2999.
- Does Jack Kitaeff accept Medicare?
- Jack Kitaeff is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Kitaeff's NPI active?
- Yes — Jack Kitaeff's NPI (1518300201) is active in the NPPES registry as of the last update on 2016-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.