Individual provider Active NPI

Kurt A Payne

  • Psychologist
  • Orlando, FL
National Provider Identifier
1649941907
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SS1160 Issued in FL
Practice address
6000 Metrowest Blvd Ste 200
Orlando, FL 32835-7631
Phone
(407) 513-2552
NPI assigned
Sep 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SS1160 FL Primary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X SS1160 FL

Addresses

Primary practice location

6000 Metrowest Blvd Ste 200
Orlando, FL 32835-7631

Mailing address

1812 Westpointe Cir
Orlando, FL 32835-8180
Phone (786) 457-5142

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS1160FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt Payne and Rachell Santos-Payne Psychologist CurrentSince Sep 28, 2025 Accepting new patients

Locations

6000 Metrowest Blvd
Ste 200
Orlando, FL 32835
Phone (321) 332-3443

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.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1649941907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 WESTPOINTE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358180",
            "telephone_number": "786-457-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 METROWEST BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357631",
            "telephone_number": "407-513-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KURT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-25",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SS1160",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.