DR. CRYSTAL EBERT (NPI# 1134550502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134550502 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL EBERT |
| Credential | PHD |
| Practice Address |
210 9th St Se Rochester MN 55904-6756 |
| Practice Telephone | 5072872766 |
| Practice Fax Number | 5072872744 |
| Mailing Telephone | 5072872766 |
| Mailing Fax Number | 5072872744 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP6293 | MN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810004913 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929349 | Crystal Ebert | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-22 |
| Street Address |
210 9TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013539 | Graham Douglas Ritts | Orthopaedic Surgery | 210 9th St Se, Rochester, MN 55904-6756 | 2005-06-21 |
| 1134774730 | Beau Bachman | Specialist/Technologist | 210 9th St Se, Rochester, MN 55904-6756 | 2019-08-09 |
| 1285192641 | Erica Dawn Runkle | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2019-03-05 |
| 1629553102 | Tarra J Lewis | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-10-01 |
| 1295220994 | Erica Behrens | Psychologist | 210 9th St Se, Rochester, MN 55904-6756 | 2018-06-25 |
| 1740785849 | Hamed Esfandiari | Ophthalmology | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-29 |
| 1962906982 | Tanelle Nicole Franko | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904 | 2018-03-23 |
| 1740782549 | Susan E Orlowski | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-07 |
| 1104327022 | Jacquelyn M Proper | Nurse Anesthetist, Certified Registered | 210 9th St Se, Rochester, MN 55904-6756 | 2018-02-26 |
| 1700399292 | Kelsey L Miller | Physician Assistant | 210 9th St Se, Rochester, MN 55904-6756 | 2017-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1780230060 | Madeline August | Psychologist | 291 Plymouth Ave S Apt 6, Rochester, NY 14608-2238 | 2019-08-13 |
| 1568902682 | Katlyn D Rice | Psychologist | 200 E River Rd Fl 3, Rochester, NY 14623-1212 | 2017-03-08 |
| 1891231916 | Alisa K. Phelps, Ph.d., Psychologist, Pllc | Psychologist | 697 Highland Ave, Rochester, NY 14620-3119 | 2017-01-12 |
| 1578967956 | Mary Frances Maida | Psychologist | 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 | 2014-10-14 |
| 1689085037 | Carrie Gleason | Psychologist | 900 W University Dr Ste B-3, Rochester, MI 48307-1817 | 2014-05-19 |
| 1043561335 | Ken Wadum, Ed.d. Lp | Psychologist | 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 | 2012-09-26 |
| 1477839223 | Trica L. Peterson | Psychologist | 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 | 2011-10-25 |
| 1477866176 | Janette Lynn Funk | Psychologist | 1577 South Ave, Rochester, NY 14620-3914 | 2010-07-22 |
| 1174835714 | Barefootsouls-com Inc | Psychologist | 226 1st St, Rochester, MI 48307-2600 | 2010-07-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.