Individual provider Active NPI

Kristin Evelyn Fitch, PH.D.

  • Clinical Psychologist
  • New Orleans, LA
National Provider Identifier
1306380811
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1393 Issued in LA
Practice address
3500 Canal St # 103
New Orleans, LA 70119-6109
Phone
(504) 977-2229
Fax
(504) 226-0479
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 1393 LA Primary

Addresses

Primary practice location

3500 Canal St # 103
New Orleans, LA 70119-6109

Mailing address

3500 Canal St # 103
New Orleans, LA 70119-6109
Phone (504) 977-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170825000086 LA Practitioner - Clinical Psychologist 2668744699 Reassigns benefits to 1 organization
Practice locations: Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rise Center for Ocd and Anxiety LLCGroup PAC ID 2567847817, 2 clinicians

Practice addresses (Care Compare)

3500 Canal St
Suite 103
New Orleans, LA 70119-6109
Phone (504) 977-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Center for Ocd and Anxiety, LLC Clinical CurrentSince Aug 15, 2022 Accepting new patients
Ocd Institute of Greater New Orleans, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

315 Metairie Rd
Ste 200
Metairie, LA 70005
Phone (504) 915-9590

3500 Canal St
Ste 103
New Orleans, LA 70119
Phone (504) 977-2229

3500 Canal St
#103
New Orleans, LA 70119
Phone (504) 475-6234

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1306380811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CANAL ST # 103",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196109",
            "telephone_number": "504-977-2229",
            "fax_number": "504-226-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CANAL ST # 103",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196109",
            "telephone_number": "504-977-2229",
            "fax_number": "504-226-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "KRISTIN",
        "middle_name": "EVELYN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.