Active NPI
Brett A Stone
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1326883919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 14216361-2501
- Practice address
- 2130 Fairway Ave S
Saint Petersburg, FL 33712-4231 - Phone
- (727) 421-0460
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY11108 | FL | |
| Clinical Psychologist | 103TC0700X | 14216361-2501 | UT | Primary |
Addresses
Primary practice location
2130 Fairway Ave S
Saint Petersburg, FL 33712-4231
Mailing address
2130 Fairway Ave S Ste 2M
Saint Petersburg, FL 33712-4231
Phone (727) 201-2279
Other practice location 1
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone (801) 255-5131
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 |
|---|---|---|---|
| PY11108 | FL | MD | Clinical Psychologist |
| 14216361-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1326883919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 FAIRWAY AVE S STE 2M",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337124231",
"telephone_number": "727-201-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 FAIRWAY AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337124231",
"telephone_number": "727-421-0460"
}
],
"practiceLocations": [
{
"address_1": "6013 S Redwood Rd",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "UT",
"postal_code": "841235220",
"country_code": "US",
"telephone_number": "801-255-5131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "BRETT",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11108",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "14216361-2501",
"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 May 14, 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.