Individual provider Active NPI

Craig Kunins, M.D.

  • Child & Adolescent Psychiatry Physician
  • Gulfport, FL
National Provider Identifier
1821158742
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
69842 Issued in FL
Practice address
2840 Seabreeze Dr S
Gulfport, FL 33707-3910
Phone
(727) 692-4505
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 69842 FL Primary

Addresses

Primary practice location

2840 Seabreeze Dr S
Gulfport, FL 33707-3910

Mailing address

2840 Seabreeze Dr S
Gulfport, FL 33707-3910

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525001342 FL Practitioner - PsychiatryPractitioner - Addiction Medicine 1456717990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
University of South Carolina School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Community Counseling LLCGroup PAC ID 7315299989, 2 clinicians

Practice addresses (Care Compare)

3840 5TH Ave N
Saint Petersburg, FL 33713-7521
Phone (727) 367-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69842FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Community Counseling LLC CurrentSince Mar 1, 2023 Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients
Operation Par Inc Past Accepting new patients
Operation Par, Inc Past Accepting new patients
Caring Community Counseling PastSince Mar 1, 2023 Accepting new patients

Locations

3840 5th Ave N
St Petersburg, FL 33713
Phone (727) 367-2273

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821158742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 SEABREEZE DR S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 SEABREEZE DR S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073910",
            "telephone_number": "727-692-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNINS",
        "first_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "69842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

Verify at the official NPI Registry.