Individual provider Active NPI

Kristen Leigh Schmidt, PH.D.

  • Psychologist
  • Tallahassee, FL
National Provider Identifier
1912073917
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6955 Issued in FL
Practice address
1801 N Meridian Rd
Suite C
Tallahassee, FL 32303-5257
Phone
(850) 264-2485
Fax
(850) 523-0864
NPI assigned
Nov 28, 2006
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6955 FL Primary

Addresses

Primary practice location

1801 N Meridian Rd
Suite C
Tallahassee, FL 32303-5257

Mailing address

1801 N Meridian Rd
Suite C
Tallahassee, FL 32303-5257
Phone (850) 264-2485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6955FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen L Schmidt PHD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1912073917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N MERIDIAN RD",
            "address_2": "SUITE C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035257",
            "telephone_number": "850-264-2485",
            "fax_number": "850-523-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N MERIDIAN RD",
            "address_2": "SUITE C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035257",
            "telephone_number": "850-264-2485",
            "fax_number": "850-523-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.