Kristen Fabrizi, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

12465 Issued in FL

Practice address

5300 S Florida Ave Ste 4
Lakeland, FL 33813-4904

Phone

(863) 701-9202

Fax

(863) 701-9262

NPI assigned

Jul 13, 2017

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 FL

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological and Neurobehavioral Services P aGroup PAC ID 5991720054, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Psychological and Neurobehavioral Services P a

  • Clinical Neuropsychologist
  • Lakeland, FL
  • NPI 1528127081
  Medicare reassignment Care Compare group NPD
• Florida Autism Center

  • Behavior Analyst
  • Clearwater, FL
  • NPI 1972046142

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1609398379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S FLORIDA AVE STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134904",
            "telephone_number": "863-701-9202",
            "fax_number": "863-701-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S FLORIDA AVE STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134904",
            "telephone_number": "863-701-9202",
            "fax_number": "863-701-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZI",
        "first_name": "KRISTEN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "12465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Specialists of Mid-Florida, PA
• Eyeglass World
• F Mark Goodwin MD PA (Lakeland Orthopaedic Clinic)
• Taylor Faas, PHARMD
• Faatz, Inc.
• Fadea Inc (Pearle Vision)
• Ibrahim Fadeyi
• Adam Fagan, DPT
• Benjamin Jacob Fagan
• Ariel Kyndal Fagins

• 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 Nov 14, 2024; 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.