DR. KRISTIN M. PHILLIPS (PHD) – Clinical Psychologist, NPI 1417210329

DR. KRISTIN M. PHILLIPS (PHD) is a healthcare provider. based in Tampa, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY8479 (FL). The NPI Number for DR. KRISTIN M. PHILLIPS (PHD) is 1417210329

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN M. PHILLIPS (PHD)
NPI
1417210329
Phone
(813) 972-2000
Address
13000 BRUCE B DOWNS BLVD
Enumeration Date
18 June 2012
Last Update Date
21 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135631155
Graduation Year
2009 (17 years ago)
PAC ID
0749446029
Group Practice PAC ID
4587969977
Professional Enrollment ID
I20220504002094
Address ID
FL336093574TA205XXBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. KRISTIN M. PHILLIPS (PHD)

  • 13000 BRUCE B DOWNS BLVD

    116B

    TAMPA, FL 336124745

    Phone: (813) 972-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-05-04

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
I20220504002094IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15315$0
View full utilization report →

Insurance plans in this area (ZIP 33612)

Loading plans...

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: 4587969977View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical PsychologistFL
-FL
-FL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. KRISTIN M. PHILLIPS (PHD) with an NPI only?
You can start verification with NPI 1417210329 for DR. KRISTIN M. PHILLIPS (PHD), then check state licensing separately.
Is DR. KRISTIN M. PHILLIPS (PHD) still practicing?
DR. KRISTIN M. PHILLIPS (PHD) is currently listed as active in the public NPI registry.
What is DR. KRISTIN M. PHILLIPS (PHD)'s specialty?
The listing groups DR. KRISTIN M. PHILLIPS (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KRISTIN M. PHILLIPS (PHD)?
DR. KRISTIN M. PHILLIPS (PHD)'s geographic hint is Tampa, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

New Tampa Station Post Office, Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33620, United States
NPI: 1871596023
10526, Palm Cove Avenue, Tampa, Hillsborough County, Florida, United States
NPI: 1861482820

MADELINE ALTABE (PHD)

Clinical Psychologist
Mitchell Boulevard, Trinity, Pasco County, Florida, 34655, United States
NPI: 1417948993

DR. SHEILA KATT-BECK (PHD)

Clinical Psychologist
901, South Edison Avenue, Hyde Park, Tampa, Hillsborough County, Florida, 33606, United States
NPI: 1083699847
Zemke Avenue, Tampa, Hillsborough County, Florida, 33621, United States
NPI: 1013980283

DR. RONALD J GIRONDA (PHD)

Clinical Psychologist
PSYCHOLOGY SERVICE 116B; JAHVAH
NPI: 1992778328

DR. DANIEL AGLIATA (PH.D.)

Clinical Psychologist
Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States
NPI: 1427021898

DR. JESSICA LINDSTADT VASSALLO (PH.D.)

Clinical Neuropsychologist
James A. Haley Veterans' Hospital, 13000, Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33612, United States
NPI: 1770557597

DR. SUZANNE E SHEALY (PH.D.)

Clinical Psychologist
James A. Haley Veterans' Hospital, 13000, Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33612, United States
NPI: 1023083698