Individual provider Active NPI

Therese Krasnovsky, PHD

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1073626255
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5489 Issued in FL
Practice address
600 Sandtree Drive
Suite 202B
Palm Beach Gardens, FL 33403-1500
Phone
(561) 346-3731
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5489 FL
Clinical Psychologist 103TC0700X PY5489 FL Primary

Addresses

Primary practice location

600 Sandtree Drive
Suite 202B
Palm Beach Gardens, FL 33403-1500

Mailing address

17088 133Rd Trail North
Jupiter, FL 33478-5222
Phone (561) 346-3731

Other identifiers 1

IdentifierTypeStateIssuer
5615862345OtherHOME PHONE #

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100429000366 FL Practitioner - Clinical Psychologist 5991832685 Practice locations: Palm Beach Gardens, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 Sandtree Dr
Suite 202B
Palm Beach Gardens, FL 33403-1538
Phone (561) 346-3731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psyche Service, LLC Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1073626255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17088 133RD TRAIL NORTH",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334785222",
            "telephone_number": "561-346-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DRIVE",
            "address_2": "SUITE 202B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031500",
            "telephone_number": "561-346-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOVSKY",
        "first_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5489",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME PHONE #",
            "identifier": "5615862345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.