Kristen Lane Sprout, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

B1-0000863 Issued in DE

Practice address

2417 Silverside Rd
Wilmington, DE 19810-4531

Phone

(302) 521-6330

NPI assigned

Jan 17, 2011

Last updated

Jan 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1720383193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHRISTINA LANDING DR",
            "address_2": "UNIT 1101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104531",
            "telephone_number": "302-521-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUT",
        "first_name": "KRISTEN",
        "middle_name": "LANE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000863",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Forward Psychotherapy LLC
• Karen Spring, LCSW
• Lauren Natasha Springer, LCSW
• Springs Rehabilitation at Brandywine LLC (Coral Springs Rehab and Healthcare Center)
• Frank A Sprintz, RPH
• Douglas L Spruill
• Renee Spurio
• Ellen A. Spurrier, MD
• Michelle Marie Squadrito, M.D.
• Ratna Sridjaja, MD

• Clinical Psychologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.