Kristin O. Tristao, PH.D., Psychologist, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISTIN O. TRISTAO, PH.D., PSYCHOLOGIST, PC

Practice address

6700 N 1St St Ste 138
Fresno, CA 93710-3956

Phone

(559) 227-1977

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Tristao, PH.D.NPI 1508409202

Title

Owner/Psychologist

Phone

(559) 227-1977

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Olivia Tristao, PH.D.

  • Psychologist
  • Fresno, CA
  • NPI 1508409202
  Authorized official Same address or phone

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1457952756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST STE 138",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103956",
            "telephone_number": "559-227-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST STE 138",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103956",
            "telephone_number": "559-227-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN O. TRISTAO, PH.D., PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "TRISTAO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "559-227-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn A. Krikorian, MA, FAAA
• Shant Avedis Krikorian, PA-C
• Sebouh Peter Krioghlian, D.O.
• Tamar Krioghlian, M.S.
• Kristin Hibbard PHD a Professional Corporation
• Stephanie Anne Kristo, DO
• Veronica Leanne Krizan, RN
• Kristin P Kroeker, MD
• Roy O Kroeker, D.P.M.
• Kara Raye Krog

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.