Individual provider Active NPI

Kristin Marie Borracci-Pastiu, PSYD, LMHC

  • Psychologist
  • Miami, FL
National Provider Identifier
1811299571
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY12115 Issued in FL
Practice address
2730 SW 3Rd Ave Ste 305
Miami, FL 33129-2323
Phone
(786) 309-1570
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 10519 FL
Psychologist 103T00000X PY12115 FL Primary

Addresses

Primary practice location

2730 SW 3Rd Ave Ste 305
Miami, FL 33129-2323

Mailing address

2730 SW 3Rd Ave Ste 305
Miami, FL 33129-2323
Phone (786) 309-1570

Other names 1

  • Kristin Borracci Former name

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
MH 10519FLMDMental Health Counselor
PY12115FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1811299571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "786-309-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "786-309-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRACCI-PASTIU",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10519",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BORRACCI",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.