Healthcare Provider Details

I. General information

NPI: 1487914404
Provider Name (Legal Business Name): KRISTEL CARRINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W STATE ST STE 3D
REDLANDS CA
92373-4653
US

IV. Provider business mailing address

119 W 57TH ST STE 1100
NEW YORK NY
10019-2401
US

V. Phone/Fax

Practice location:
  • Phone: 347-709-4170
  • Fax: 855-262-3768
Mailing address:
  • Phone: 347-709-4170
  • Fax: 212-757-3555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME14169
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number271782
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA10069400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: