Active NPI
Krysta Webster Fink, PH.D.
- Clinical Psychologist
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1375
- Practice address
- 1801 W Evans St Ste D105
Florence, SC 29501-3376 - Phone
- (843) 920-6953
- NPI assigned
- Aug 21, 2008
- Last updated
- Jun 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004664 | VA | |
| Clinical Psychologist | 103TC0700X | 1375 | SC | Primary |
Addresses
Primary practice location
1801 W Evans St Ste D105
Florence, SC 29501-3376
Mailing address
1801 W Evans St Ste D105
Florence, SC 29501-3376
Phone (843) 920-6953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
201 Church St SE
Suite D
Blacksburg, VA 24060-4878
Phone (843) 632-0345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krysta Webster Fink, PH.D. | Clinical | Current | Accepting new patients |
| The Cascade Group Inc | Past | Accepting new patients | |
| Suzanne R Eaton Psy.D. PLLC | Clinical | Past | Accepting new patients |
| Blacksburg Behavioral Health, LLC | Clinical | Past | Accepting new patients |
Locations
201 Church St SE
Ste D
Blacksburg, VA 24060
Phone (540) 200-8399
Organizations & group practices 4
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.
-
dba Fink Psychological Services, LLC
- Clinical Psychologist
- Florence, SC
- NPI 1538799713
VA
-
- Clinical Psychologist
- Blacksburg, VA
- NPI 1770034902
-
- Clinical Psychologist
- Lynchburg, VA
- NPI 1093460990
-
- Counselor
- Blacksburg, VA
- NPI 1043254717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1497902472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W EVANS ST STE D105",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013376",
"telephone_number": "843-920-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W EVANS ST STE D105",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013376",
"telephone_number": "843-920-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "KRYSTA",
"middle_name": "WEBSTER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004664",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.