Active NPI
Kristin Amicone
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1306510854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY12543
- Practice address
- 7901 4TH St N Ste 300
Saint Petersburg, FL 33702-4399 - Phone
- (708) 787-8794
- NPI assigned
- Aug 6, 2021
- Last updated
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY12543 | FL | Primary |
Addresses
Primary practice location
7901 4TH St N Ste 300
Saint Petersburg, FL 33702-4399
Mailing address
828 Davis St
Evanston, IL 60201-4420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY12543 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solution Focused Healthcare, LLC | Current | Accepting new patients | |
| Chicago Psych Therapy Group, Inc. | Clinical | Past | Accepting new patients |
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.
-
- Psychologist
- Norton, OH
- NPI 1306783584
-
dba Gulf Coast Psych Therapy Group
- Clinical Psychologist
- Evanston, IL
- NPI 1184165383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1306510854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 DAVIS ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "708-787-8794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMICONE",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY12543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.