Kristina Janet Greenfield, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29371 Issued in CA

Practice address

1980 N Atlantic Ave Ste 430
Cocoa Beach, FL 32931-3288

Phone

(321) 345-9809

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

No

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1780990531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 PAWNEE TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329537826",
            "telephone_number": "321-345-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE STE 430",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313288",
            "telephone_number": "321-345-9809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Fair Oaks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302685",
            "country_code": "US",
            "telephone_number": "626-765-4482 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "KRISTINA",
        "middle_name": "JANET",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1434",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth H Glick, M.D.
• Ross John Goodfellow, D.O.
• Douglas M Gordon, M.D.
• Michael Grainger, M.D.
• Barbara Greene
• Kathryne Gunn, DO
• Aashish P Gupta, M.D.
• Darlene R Hachmeister, DMD
• Handicapable Living
• Sherry K Hanna, M.D.

• Clinical Psychologist in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.