Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Kitaeff, PHD

Individual provider Clinical Psychologist · NPI 1518300201

Dr. Jack Kitaeff, PHD is a Clinical Psychologist in Fairfax, Virginia. Graduated from University of Mississippi School of Medicine in 1978, 48 years ago. Practices with Clinical Psychology Services PC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
48
Trained at
University of Mississippi School of Medicine
Licensed in
VA
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10560 Main St Ste 518
Fairfax, VA 22030-7182
Phone: (703) 349-2999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1070 (VA)

Record details

NPI number1518300201
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 11, 2013
Last updated in NPPESSeptember 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Clinical Psychology Services Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fairfax