Organization Active NPI

Kristen Flugstad PSYD, LLC

  • Psychologist
  • Flagstaff, AZ
National Provider Identifier
1932592599
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KRISTEN FLUGSTAD PSYD, LLC
Practice address
125 East Elm Avenue #203
Flagstaff, AZ 86001
Phone
(928) 774-0437
Fax
(928) 779-2191
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Dr. Kristen Deanne Flugstad, PSYD
Title
Psychologist/Member
Phone
(928) 774-0437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

125 East Elm Avenue #203
Flagstaff, AZ 86001

Mailing address

125 East Elm Avenue #203
Flagstaff, AZ 86001
Phone (928) 774-0437

National Provider Directory

National Provider Directory

Locations

125 E Elm Ave
#203
Flagstaff, AZ 86001
Phone (928) 774-0437

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1932592599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST ELM AVENUE #203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-774-0437",
            "fax_number": "928-779-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST ELM AVENUE #203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-774-0437",
            "fax_number": "928-779-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN FLUGSTAD PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "FLUGSTAD",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MEMBER",
        "authorized_official_telephone_number": "928-774-0437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.