Kristin Patrice Girardot, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6292 Issued in FL

Practice address

500 N Maitland Ave
Suite 110
Maitland, FL 32751-4482

Phone

(407) 808-7852

NPI assigned

Oct 4, 2010

Sex

Female

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

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kristin P. Girardot, PH.D, LLC

  • Clinical Psychologist
  • Maitland, FL
  • NPI 1972807527
  Medicare reassignment NPD Authorized official
• Maitland Psychology PA

  • Clinical Neuropsychologist
  • Maitland, FL
  • NPI 1871775445
  NPD

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1023327459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547878",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328547878",
            "telephone_number": "407-808-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAITLAND AVE",
            "address_2": "SUITE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514482",
            "telephone_number": "407-808-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARDOT",
        "first_name": "KRISTIN",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Gillmore, APRN
• Amy Ginsburg, CFY
• Mark Giorgi, MD
• Ashley Giovanetti, RD
• Christian Giovanniello, B.A
• Mariham Girges, OD
• Sandra Lee Glaize, MA
• Carrie Glatting, LMHC
• Ashley Jennette Glaude, LCSW
• Jacky Glaude

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.