Individual provider Active NPI

Kirstyn Livingston, M.A.

  • Psychologist
  • St Thomas, VI
National Provider Identifier
1124494562
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
15-036 PSY Issued in VI
Practice address
9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2617
Phone
(340) 774-2228
Fax
(240) 714-2258
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 15-036 PSY VI Primary

Addresses

Primary practice location

9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2617

Mailing address

9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2617
Phone (340) 774-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15-036 PSYVIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychological Services, LLC Psychologist PastSince Apr 22, 2022 Accepting new patients
Insight Outreach, Inc PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1124494562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 ESTATE THOMAS",
            "address_2": "SUITE 204",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022617",
            "telephone_number": "340-774-2228",
            "fax_number": "240-714-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 ESTATE THOMAS",
            "address_2": "SUITE 204",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022617",
            "telephone_number": "340-774-2228",
            "fax_number": "240-714-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "KIRSTYN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VI",
            "license": "15-036 PSY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.