KRISTI VAN SICKLE, PSYD, LLC
NPI 1902292725
Clinic/Center - Adult Mental Health in Saint Petersburg, FL
About Kristi Van Sickle, Psyd, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTI VAN SICKLE, PSYD, LLC (NPI 1902292725) is a healthcare organization registered as an adult mental health in Saint Petersburg, Florida and active in the NPI registry since April 2015. The organization lists Kristi Sands Van Sickle, Owner/psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristi Van Sickle, Psyd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristi Van Sickle, Psyd, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kristi Van Sickle, Psyd, LLC's NPI number?
The NPI number for Kristi Van Sickle, Psyd, LLC is 1902292725. It was assigned to this organization in the NPPES registry on April 8, 2015.
Where is Kristi Van Sickle, Psyd, LLC located?
Kristi Van Sickle, Psyd, LLC is located at 111 2nd Ave NE Ste 538, Saint Petersburg, FL 33701. The listed phone number is (727) 586-5192.
What is Kristi Van Sickle, Psyd, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Kristi Van Sickle, Psyd, LLC enrolled in Medicare?
Yes. Kristi Van Sickle, Psyd, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kristi Van Sickle, Psyd, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Kristi Van Sickle, Psyd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kristi Van Sickle, Psyd, LLC was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.
# Kristi Van Sickle, Psyd, Llc · NPI 1902292725
Adult Mental Health organization in Saint Petersburg, Florida. Organization record, active in the CMS NPPES registry since April 8, 2015.
## Identity
- **NPI:** 1902292725 (Entity type: Organization)
- **Enumerated:** April 8, 2015
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Kristi Van Sickle, OWNER/PSYCHOLOGIST
## Practice location
- **Address:** 111 2ND AVE NE STE 538, Saint Petersburg, FL 33701-3493
- **Phone:** (727) 586-5192
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychologist Billing Independently) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902292725) · Data from the CMS NPPES public registry.