DR. CHANA CRYSTAL (NPI# 1407355266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407355266 |
| Entity Type | Individual |
| Full Name | DR. CHANA CRYSTAL |
| Credential | PSYD |
| Practice Address |
2812 Mack Rd Fairfield OH 45014-5130 |
| Practice Telephone | 5136660816 |
| Mailing Telephone | 5136660816 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7554 | OH | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
7554 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE | CS180030014 | 01 |
| Street Address |
2812 MACK RD |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740506054 | Agila Rangarajan | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2010-04-12 |
| 1669900312 | Michelle M. Kilcoyne, Ph.d., LLC | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2017-05-25 |
| 1295273340 | Michelle M. Kilcoyne | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2017-02-09 |
| 1962945352 | Rachel Sparn | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2016-12-02 |
| 1750695227 | Bruce K. Pickens | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| 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 |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1023579265 | Jennifer Rachel Pleasure | Psychologist | 1492 Unquowa Rd, Fairfield, CT 06824-4950 | 2019-03-29 |
| 1306296454 | Neeru Madan | Psychologist | 1125 Missouri St Ste 205, Fairfield, CA 94533-6000 | 2016-06-20 |
| 1063882025 | Matthew Love | Psychologist | 140 Sherman St Fl 5, Fairfield, CT 06824-5849 | 2015-10-03 |
| 1609266014 | Janet Walker | Psychologist | 35 S Benson Cmns, Fairfield, CT 06824-6239 | 2015-01-23 |
| 1013305788 | Cheryl Lykins | Psychologist | 255 Donald Dr, Fairfield, OH 45014-3006 | 2015-01-05 |
| 1922496694 | Molly Mcneil | Psychologist | 5058 Dixie Hwy, Fairfield, OH 45014-2934 | 2015-01-05 |
| 1255766861 | Grace Kiriakos | Psychologist | 604 Empire St Fl 1, Fairfield, CA 94533-5527 | 2013-09-13 |
| 1528366689 | Michael J. Weiss | Psychologist | 333 Bennett St, Fairfield, CT 06825-1375 | 2011-03-14 |
| 1336367010 | Momentum for Mental Health - A.s.s.i.s.t. Solano Outpatient | Psychologist | 1935 Kidder Ave, Fairfield, CA 94533-3919 | 2007-04-20 |
| Find all providers in FAIRFIELD | ||||
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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.