Active NPI
Kristi Sands Van Sickle, PSY.D.
- Psychologist
- St Petersburg, FL
National Provider Identifier
1427234533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 7640
- Practice address
- 111 2ND Ave NE Ste 538
Saint Petersburg, FL 33701-3493 - Phone
- (727) 586-5192
- NPI assigned
- Jan 18, 2008
- Last updated
- Oct 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 7640 | FL | Primary |
Addresses
Primary practice location
111 2ND Ave NE Ste 538
Saint Petersburg, FL 33701-3493
Mailing address
111 2ND Ave NE Ste 538
Saint Petersburg, FL 33701-3493
Phone (727) 586-5192
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristi@drkristivansickle.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
163 5TH Ave NE
Saint Petersburg, FL 33701-3015
Phone (727) 592-5186
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7640 | FL | MD | Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- St Petersburg, FL
- NPI 1902292725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791072000000",
"number": "1427234533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 2ND AVE NE STE 538",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337013493",
"telephone_number": "727-586-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 2ND AVE NE STE 538",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337013493",
"telephone_number": "727-586-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SICKLE",
"first_name": "KRISTI",
"middle_name": "SANDS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2026-10-04",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 7640",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristi@drkristivansickle.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "111 2nd Ave NE Ste 538",
"city": "Saint Petersburg",
"state": "FL",
"country_code": "US",
"postal_code": "337013493",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Petersburg, FL
- Alexandra Van Der Weyden, MD
- Thor William Van Diver, M.D.
- Tina Louise Van Doren, ARNP, CPNP-PC, MSN
- Tessa Marie Van Haaren
- Rachel Van Kirk
- Bryan Michael Van Vranken, RMHCI
- Jill Marilyn Van Wingerden, MS, MBA
- Christy Denise Vanburen, FNP-C
- Kelley Vanden Heuvel, NNP
- Kimberly Kay Vander Heuvel, ARNP-BC, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.