Kristin Olivia Tristao, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31100 Issued in CA

Practice address

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

Phone

(559) 227-1977

Fax

(559) 272-2698

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vitalize Behavioral Health and Psychometrics Inc.Group PAC ID 8729490701, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitalize Behavioral Health and Psychometrics Inc.

  • Adult Mental Health Clinic/Center
  • Fresno, CA
  • NPI 1386246197

  Psychologist

  NPD

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1508409202",
    "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",
            "fax_number": "559-227-2698"
        },
        {
            "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",
            "fax_number": "559-272-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISTAO",
        "first_name": "KRISTIN",
        "middle_name": "OLIVIA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Trippel
• Bhaskara R. Tripuraneni, MD
• Bianca Tristan, FNP
• Bianca Tristan
• Philip Paul Tristan
• Pamela Ann Troop, RN, FNP, CNM
• Jennifer Trost, PA-C, MPH
• Ethan Richard Trotter
• Katie Trousil, PHARMD
• Jessica Troxell

• All providers in Fresno, CA
• Psychologist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.