NPIMap

Individual provider Active NPI

Kristin Moffett Hamlet, PH.D.

  • Clinical Psychologist
  • Gainesville, FL
National Provider Identifier
1740716885
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9936 Issued in FL
Practice address
4001 SW 13TH St
Gainesville, FL 32608-3513
Phone
(352) 265-4372
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Psychologist 103T00000X PY9936 FL
Clinical Psychologist 103TC0700X PY9936 FL Primary

Addresses

Primary practice location

4001 SW 13TH St
Gainesville, FL 32608-3513

Mailing address

PO Box 100256
1149 Newell Dr., L4-100
Gainesville, FL 32610-0256

Other names 1

  • Kristin L Moffett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107000149 FL Practitioner - Clinical Psychologist 7719243849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 100371
Gainesville, FL 32610-0371

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.27 of 100Reported as group
Quality
95.72
Promoting interoperability
0
Improvement activities
40
Cost
78.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY9936FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Professions Association, Inc. Clinical CurrentSince Jun 12, 2019 Accepting new patients
Florida Health Professionals Association Inc CurrentSince Jun 12, 2019 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

4101 NW 89th Blvd
Gainesville, FL 32606
Phone (352) 265-5491

1600 SW Archer Rd
Rm G901
Gainesville, FL 32610
Phone (352) 265-0294

3009 SW Williston Rd
Gainesville, FL 32608
Phone (352) 294-5400

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1740716885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100256",
            "address_2": "1149 NEWELL DR., L4-100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083513",
            "telephone_number": "352-265-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLET",
        "first_name": "KRISTIN",
        "middle_name": "MOFFETT",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9936",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MOFFETT",
            "middle_name": "L",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.