Individual provider Active NPI

Brett A Stone

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1326883919
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
14216361-2501 Issued in UT
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

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY11108 FL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
PY11108FLMDClinical Psychologist
14216361-2501UTMDClinical 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.

Verify at the official NPI Registry.