Kristofer Generales, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12051 Issued in CT

Practice address

1055 Summer St Ste 2
Stamford, CT 06905-5527

Phone

(914) 413-2324

Fax

(203) 547-4914

NPI assigned

Jul 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evolve Brain Health LLCGroup PAC ID 9537538244, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Evolve Brain Health LLC

  dba Evolve

  • Psychiatry Physician
  • Stamford, CT
  • NPI 1740916105

  NY

  Medicare reassignment Care Compare group NPD
• Astra Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Rye Brook, NY
  • NPI 1760305429
  NPD (past) Authorized official
• Astra Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Rye Brook, NY
  • NPI 1861315400
  Authorized official Same address or phone

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1124706635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEWIS RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052213",
            "telephone_number": "914-413-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUMMER ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055527",
            "telephone_number": "914-413-2324",
            "fax_number": "203-547-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERALES",
        "first_name": "KRISTOFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405084-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Gelfand
• Marcia Geller, PH.D
• Ayse F. Genc, MD
• Nicole Alyse Gendreau, FNP
• General Prize One Corp
• Robert Gennaro, MD
• Genoa Healthcare LLC
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10391)
• Sherin Mary George, PA-C
• Kathryn Georgiadis, MD

• Psychiatric/Mental Health Nurse Practitioner in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.