Individual provider Active NPI

Kristin G Litten Burnitz, PSY.D.

  • Clinical Psychologist
  • Homestead, FL
National Provider Identifier
1306020763
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6409 Issued in FL
Practice address
950 N Krome Ave Ste 407
Homestead, FL 33030-4443
Phone
(305) 245-0017
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6409 FL Primary

Addresses

Primary practice location

950 N Krome Ave Ste 407
Homestead, FL 33030-4443

Mailing address

950 N Krome Ave Ste 407
Homestead, FL 33030-4443
Phone (305) 245-0017

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080613000179 FL Practitioner - Clinical Psychologist 1052482346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28905 SW 193Rd CT
Homestead, FL 33030-2204
Phone (305) 245-0017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6409FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Litten Burnitz PSYD CurrentSince Feb 23, 2021 Accepting new patients

Locations

815 N Homestead Blvd
Homestead, FL 33030
Phone (305) 245-0017

Organizations & group practices 1

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1306020763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 407",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-245-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 407",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-245-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNITZ",
        "first_name": "KRISTIN",
        "middle_name": "G LITTEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.