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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIN MEDICAL GROUP PA
NPI 1497642276
Clinic/Center - Adolescent and Children Mental Health in Tampa, FL

Active since June 23, 2025
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602(813) 212-5200 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Mar 31, 2026, Jun 23, 2025 (3 updates tracked since 2025).

About Kin Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIN MEDICAL GROUP PA (NPI 1497642276) is a healthcare organization registered as an adolescent and children mental health in Tampa, Florida and active in the NPI registry since June 2025. The organization lists Courtney Carlsson, Operations Administrator, as its authorized official.

NPPES Registry Identity

NPI1497642276
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameKIN MEDICAL GROUP PA
Location Address601 S HARBOUR ISLAND BLVD STE 109Tampa, FL 33602-5927
Mailing Address601 S Harbour Island Blvd Ste 109Tampa, FL 33602-5927
Phone(813) 212-5200
Organization SubpartNo
Authorized OfficialCourtney CarlssonOperations Administrator · (813) 212-5200
Enumeration DateJune 23, 2025
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1497642276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
601 S HARBOUR ISLAND BLVD STE 109, Tampa, FL 33602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FEDERICO GORDON JR. MBA, MLS(ASCP)
Specialist/Technologist, Pathology
601 S HARBOUR ISLAND BLVD STE 109
TAMPA, FL 33602
Hillsborough County (813) 419-2934
ELIZABETH N WALKER LPC
Counselor (Professional)
601 S HARBOUR ISLAND BLVD STE 109
TAMPA, FL 33602
Hillsborough County (813) 212-5200
HOME CARE DELIVERED, INC
Durable Medical Equipment & Medical Supplies
601 S HARBOUR ISLAND BLVD STE 109
TAMPA, FL 33602
Hillsborough County (800) 565-6167
RICO LAB SERVICES
Clinical Medical Laboratory
601 S HARBOUR ISLAND BLVD STE 109
TAMPA, FL 33602
Hillsborough County (813) 419-2934
DR. GRETCHEN SANMIGUEL M.D.
Family Medicine (Geriatric Medicine)
601 S HARBOUR ISLAND BLVD STE 109
TAMPA, FL 33602
Hillsborough County (407) 587-9113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kin Medical Group PA's NPI number?

The NPI number for Kin Medical Group PA is 1497642276. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is Kin Medical Group PA located?

Kin Medical Group PA is located at 601 S Harbour Island Blvd Ste 109, Tampa, FL 33602. The listed phone number is (813) 212-5200.

What is Kin Medical Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Kin Medical Group PA was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.