Active NPI
Kristen Michaela Sturdevant, PSY.D.
- Clinical Psychologist
- Saint Petersburg, FL
National Provider Identifier
1689879934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8738
- Practice address
- 6339 22ND Ave N
Saint Petersburg, FL 33710-4105 - Phone
- (503) 329-2162
- Fax
- (503) 329-2162
- NPI assigned
- Jun 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8738 | FL | Primary |
Addresses
Primary practice location
6339 22ND Ave N
Saint Petersburg, FL 33710-4105
Mailing address
6339 22ND Ave N
Saint Petersburg, FL 33710-4105
Phone (503) 329-2162
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1913 Tyrone Blvd N
St Petersburg, FL 33710-4841
Phone (727) 209-7792
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fedora Psychological Group, LLC | Clinical | Current | Accepting new patients |
| Rob Alves PSYD LP PA | Clinical | Past | Accepting new patients |
Locations
1913 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 209-7792
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Pinellas Park, FL
- NPI 1538594148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1689879934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6339 22ND AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337104105",
"telephone_number": "503-329-2162",
"fax_number": "503-329-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6339 22ND AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337104105",
"telephone_number": "503-329-2162",
"fax_number": "503-329-2162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDEVANT",
"first_name": "KRISTEN",
"middle_name": "MICHAELA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.