Kristi M Harrin, PSYD
Individual provider Active NPI Clinical Psychologist · Tampa, FL
NPI 1104162882 · NPPES record last updated Jan 2, 2013
Key facts
- NPI
- 1104162882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY8676 (FL)
- Practice address
- 13039 W Linebaugh Ave
BLDG V Suite 101
Tampa, FL 33626-4483 - Phone
- (888) 531-1313
- Fax
- (888) 531-6035
- NPI assigned
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Achieve Wellness Group LLC
Practice addresses (Care Compare)
13039 W Linebaugh Ave
Tampa, FL 33626-4483
13039 W Linebaugh Ave BLDG V
Suite 101
Tampa, FL 33626-4483
Phone (352) 515-6914
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130116000005 | FL | Practitioner - Clinical Psychologist | 3375796774 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8676 | FL | MD | Clinical Psychologist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Wellness Group LLC | Clinical | Current |
Accepting new patients |
| Darlene Williams PH D PA | Clinical | Past | Accepting new patients |
Locations
13039 W Linebaugh Ave
Ste 101
Tampa, FL 33626
Phone (352) 515-6914
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8676 | FL | Yes |
Addresses
Primary practice location
13039 W Linebaugh Ave
BLDG V Suite 101
Tampa, FL 33626-4483
Mailing address
13039 W Linebaugh Ave
BLDG V Suite 101
Tampa, FL 33626-4483
Phone (888) 531-1313
Other providers in Tampa, FL
- David L Harr
- Ariana Nicole Harrell
- Courtney Deshawn Harrell
- Tarelle Harrell
- Cameron Lily Harrigan
- Lewis Kevin Harrington
- Mary Annette Harrington
- Michael Andrew Harrington
- Phillips Brewster Harrington
- Rebecca Isabelle Harrington
All providers in Tampa, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.