Swan City Psychology P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SWAN CITY PSYCHOLOGY P.A.

Practice address

1815 Crystal Lake Dr # 1409
Lakeland, FL 33801-5979

Phone

(863) 640-9080

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Kristin C Muller, PSYDNPI 1255014981

Title

Owner

Phone

(863) 640-9080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Colleen-Bieri Muller, PSYD

  • Clinical Psychologist
  • Lakeland, FL
  • NPI 1255014981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1518701853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 SEYMORE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133761",
            "telephone_number": "863-640-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CRYSTAL LAKE DR # 1409",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-640-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN CITY PSYCHOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-640-9080",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Lavelle LLC (Lakeland Psychology)
• Mohamed Swalih
• Swan City Chiropractic Corporation
• Swan City Eye Care
• Swan City Music Therapy, LLC
• Swan City Wellness LLC (Swan City Chiropractic)
• Swan Oral & Facial Surgery, LLC
• Emily Kate Swan, DO
• Kristen Rebekah Swanson, DO
• Stacy Marie Swanson, APRN, FNP-BC, FNP-C

• Clinical Psychologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.