Organization Active NPI

Kristen M Sturdevant PSYD PA

  • Psychologist
  • Pinellas Park, FL
National Provider Identifier
1063833119
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8738 Issued in FL
Legal business name
KRISTEN M STURDEVANT PSYD PA
Practice address
6251 Park Blvd N Ste 9B
Pinellas Park, FL 33781-3238
Phone
(727) 209-7792
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Kristen M Sturdevant, PSYD
Title
Licensed Psychologist/Owner
Phone
(727) 209-7792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY8738 FL Primary

Addresses

Primary practice location

6251 Park Blvd N Ste 9B
Pinellas Park, FL 33781-3238

Mailing address

PO Box 49284
Saint Petersburg, FL 33743-9284
Phone (727) 209-7792

National Provider Directory

National Provider Directory

Locations

6251 Park Blvd N
Ste 9B
Pinellas Park, FL 33781
Phone (727) 209-7792

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1063833119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49284",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337439284",
            "telephone_number": "727-209-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 PARK BLVD N STE 9B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813238",
            "telephone_number": "727-209-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN M STURDEVANT PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "STURDEVANT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "727-209-7792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.