| Kristi Van Sickle, Psyd, Llc | |
|
163 5th Ave Ne Saint Petersburg FL 33701-3015 | |
| (727) 586-5192 | |
| Not Available |
| Full Name | Kristi Van Sickle, Psyd, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 163 5th Ave Ne, Saint Petersburg, Florida |
| Authorized Official Name and Position | Kristi Sands Van Sickle (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7275925186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Van Sickle, Psyd, Llc 163 5th Ave Ne Saint Petersburg FL 33701-3015 Ph: (727) 586-5192 | Kristi Van Sickle, Psyd, Llc 163 5th Ave Ne Saint Petersburg FL 33701-3015 Ph: (727) 586-5192 |
| NPI Number | 1902292725 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 0042510638 |
|---|---|
| Medicare Enrollment ID | O20151203002987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902292725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY7640 (Florida) | Primary |
| Provider Name | Kristi Sands Van Sickle |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1427234533 PECOS PAC ID: 1951601541 Enrollment ID: I20151203003098 |
Harris Counseling Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 63rd Ave S, Saint Petersburg, FL 33705 Phone: 727-359-5477 | |
Gain Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 36th Ave Ne, Saint Petersburg, FL 33704 Phone: 845-521-5830 | |
Concierge Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1631 Dr Martin Luther King Jr St N, Saint Petersburg, FL 33704 Phone: 727-275-7550 | |
Caregiver Strategies And Support, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 11th St N, Saint Petersburg, FL 33705 Phone: 813-748-7213 | |
Transparent Space Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N, Saint Petersburg, FL 33702 Phone: 954-900-8348 | |
Heather Maturo Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N, Suite 322, Saint Petersburg, FL 33702 Phone: 219-508-2465 | |
Progressus Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 Dr Martin Luther King St N, Saint Petersburg, FL 33702 Phone: 800-356-4049 Fax: 941-485-0519 |