Kristie Lee Deblasio, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8296 Issued in FL

Practice address

11760 US Highway 1
Suite 504
Palm Beach Gardens, FL 33408

Phone

(561) 385-9996

Fax

(561) 333-2122

NPI assigned

Jun 1, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristie Deblasio Feehely Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Life IncGroup PAC ID 8123433034, 113 clinicians

Southcoast Psychiatric Services IncGroup PAC ID 2860879293, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Southcoast Psychiatric Services Inc

  • Community/Behavioral Health Agency
  • Coral Springs, FL
  • NPI 1316571037
  Medicare reassignment Care Compare group NPD
• Total Life Inc.

  • Group Psychotherapy Psychologist
  • Jupiter, FL
  • NPI 1053909267
  Medicare reassignment Care Compare group NPD
• Total Life FL PA

  dba Total Life

  • Integrative Medicine Physician
  • Potomac, MD
  • NPI 1447057286

  Clinical, FL

  Medicare reassignment NPD
• Sienna Psychology of the Palm Beaches, LLC

  • Clinical Psychologist
  • Palm Beach Gardens, FL
  • NPI 1205667946
  NPD Authorized official

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245524701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 US HIGHWAY 1",
            "address_2": "SUITE 504",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-385-9996",
            "fax_number": "561-333-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 US HIGHWAY 1",
            "address_2": "SUITE 504",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-385-9996",
            "fax_number": "561-333-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLASIO",
        "first_name": "KRISTIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "FEEHELY",
            "middle_name": "DEBLASIO",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micaela De Madalengoitia
• Jose Roberto De Olazabal, M.D.
• Taylor De Oro, DPT
• Gena Shakira Dean
• Joshua Taylor Dearce
• Vanessa Lee Debs, MD
• Samantha Marie Deck
• Robert Edward Decker, M.D.
• Rachel Decosty
• Douglas D. Dedo, M.D.

• 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 Jul 21, 2022; 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.