Kristin Bishop Macdermott, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3950 Issued in FL

Practice address

100 Village Square Xing Ste 203
Palm Beach Gardens, FL 33410-4531

Phone

(561) 771-4550

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1104476902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BERMUDA LAKE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184584",
            "telephone_number": "970-309-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING STE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104531",
            "telephone_number": "561-771-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Barrington Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255379",
            "country_code": "US",
            "telephone_number": "310-750-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 W Main St",
            "address_purpose": "LOCATION",
            "city": "Aspen",
            "state": "CO",
            "postal_code": "816111619",
            "country_code": "US",
            "telephone_number": "970-309-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDERMOTT",
        "first_name": "KRISTIN",
        "middle_name": "BISHOP",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0004736",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT102440",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "3950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.