Gary James Kreisberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2358 Issued in FL

Practice address

9260 SW 72ND St Ste 203
Miami, FL 33173-3255

Phone

(305) 279-3640

Fax

(305) 279-5540

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013927920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SW 72ND ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733255",
            "telephone_number": "305-279-3640",
            "fax_number": "305-279-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SW 72ND ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733255",
            "telephone_number": "305-279-3640",
            "fax_number": "305-279-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISBERG",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kreative Kids Therapy
• Kreative Kids Therapy
• Gleidys Krebs, ARNP
• Monika Kreinberg, LMHC, LMFT
• Katie Elisabeth Kreis, DC
• Anne Margaret Kremer, SLPA
• Benjamin Kremer, M.D.
• Hal P Krenkel, DPT
• Vanessa Ivett Krespine
• Victor P Krestow, M.D.

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.