Active NPI
Krystal Bittar, PSY.D
- Psychologist
- Miami, FL
National Provider Identifier
1619248424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY8352
- Practice address
- 1221 71St St
Miami, FL 33141-3647 - Phone
- (305) 538-8835
- NPI assigned
- Jan 25, 2012
- Last updated
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8352 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PY8352 | FL |
Addresses
Primary practice location
1221 71St St
Miami, FL 33141-3647
Mailing address
2622 SW 32 Court
Miami, FL 33133
Phone (305) 951-1116
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1821438953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1619248424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 SW 32 COURT",
"city": "MIAMI",
"state": "FL",
"postal_code": "33133",
"telephone_number": "305-951-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 71ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331413647",
"telephone_number": "305-538-8835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTAR",
"first_name": "KRYSTAL",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8352",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.