Active NPI
Kristin Suzanne Hoffman, PH.D.
- Clinical Child & Adolescent Psychologist
- St. Petersburg, FL
National Provider Identifier
1518196674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY10067
- Practice address
- Johns Hopkins All Children'S Hospital, CDRC
880 6TH Street South
St. Petersburg, FL 33701 - Phone
- (727) 898-7451
- NPI assigned
- Jul 10, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY10067 | FL | Primary |
Addresses
Primary practice location
Johns Hopkins All Children'S Hospital, CDRC
880 6TH Street South
St. Petersburg, FL 33701
Mailing address
Johns Hopkins All Children'S Hospital, CDRC
880 6TH Street South
St. Petersburg, FL 33701
Phone (727) 898-7451
Other practice location 1
711 Jefferson Ave
Room 194A
Memphis, TN 38105-5003
Phone (901) 448-6511 ext. 2046
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10067 | FL | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Tennessee | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Memphis, TN
- NPI 1427064880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1518196674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, CDRC",
"address_2": "880 6TH STREET SOUTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33701",
"telephone_number": "727-898-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, CDRC",
"address_2": "880 6TH STREET SOUTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33701",
"telephone_number": "727-898-7451"
}
],
"practiceLocations": [
{
"address_1": "711 Jefferson Ave",
"address_2": "Room 194A",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381055003",
"country_code": "US",
"telephone_number": "901-448-6511 x2046",
"fax_number": "901-448-3844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "KRISTIN",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY10067",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.