DR. KRISTIE LEE DEBLASIO (PHD) – Clinical Psychologist, NPI 1245524701

DR. KRISTIE LEE DEBLASIO (PHD) is a healthcare provider. based in Palm beach gardens, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY8296 (FL). The NPI Number for DR. KRISTIE LEE DEBLASIO (PHD) is 1245524701

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIE LEE DEBLASIO (PHD)
NPI
1245524701
Phone
(561) 385-9996
Address
11760 US HIGHWAY 1
Enumeration Date
1 June 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612416628
Graduation Year
2009 (17 years ago)
PAC ID
5799071916
Group Practice PAC ID
2860879293
Professional Enrollment ID
I20160914000292
Address ID
FL330655083CO2900XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. KRISTIE LEE DEBLASIO (PHD)

  • 11760 US HIGHWAY 1

    SUITE 504

    PALM BEACH GARDENS, FL 33408

    Phone: (561) 385-9996

    Fax: (561) 333-2122

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160914000292IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860879293View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Clinical PsychologistFL
Psychiatry, Geriatric PsychiatryFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Marriage And Family TherapistFL
Psychiatry, Addiction MedicineFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

How is DR. KRISTIE LEE DEBLASIO (PHD) identified in CMS data?
CMS-hosted NPPES data lists DR. KRISTIE LEE DEBLASIO (PHD) with NPI 1245524701.
Can I rely on DR. KRISTIE LEE DEBLASIO (PHD) being an active provider?
As of the registry snapshot, DR. KRISTIE LEE DEBLASIO (PHD) is marked active.
What is DR. KRISTIE LEE DEBLASIO (PHD) best known for clinically?
Directory data describes DR. KRISTIE LEE DEBLASIO (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What area does DR. KRISTIE LEE DEBLASIO (PHD) serve?
DR. KRISTIE LEE DEBLASIO (PHD)'s listing highlights Palm Beach Gardens, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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