Sienna Psychology of the Palm Beaches, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SIENNA PSYCHOLOGY OF THE PALM BEACHES, LLC

Practice address

4362 Northlake Blvd Ste 200
Palm Beach Gardens, FL 33410-6269

Phone

(561) 710-6008

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristie DeblasioNPI 1245524701

Title

Owner/Registered Agent

Phone

(561) 710-6008

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristie Lee Deblasio, PHD

  • Clinical Psychologist
  • Palm Beach Gardens, FL
  • NPI 1245524701
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1205667946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 MEDITERRANEAN CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181002",
            "telephone_number": "561-710-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106269",
            "telephone_number": "561-710-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIENNA PSYCHOLOGY OF THE PALM BEACHES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "DEBLASIO",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER/REGISTERED AGENT",
        "authorized_official_telephone_number": "561-710-6008"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Sibley, MS
• Gabriella Dora Sicolo
• Kasie Sidman
• Siegal Chiropractic Inc
• Mitchell Allen Siegal, DC
• Signature Healthcare LLC
• Tzipporah Silbergleit
• Jussara Silva, M.ED.
• Moanna Maher Mendes Silva
• Kathryn Silvani, PT, DPT

• Clinical Psychologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.