CRYSTAL MAYBERRY (NPI# 1427548064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427548064 |
| Entity Type | Individual |
| Full Name | CRYSTAL MAYBERRY |
| Credential | PSYD |
| Practice Address |
26401 Pacific Hwy S Ste 101 Des Moines WA 98198-9247 |
| Practice Telephone | 2067573396 |
| Mailing Telephone | 2068703590 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MC60856972 | WA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PY60912419 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2255 Harbor Ave Sw Ste 204, Seattle, WA 981262078 | 9526881564 |
| Street Address |
26401 PACIFIC HWY S STE 101 |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465498 | Cindy M. Breed | Naturopath | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2005-08-26 |
| 1215468749 | Shawna K Okamoto | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2017-03-26 |
| 1598296014 | Julia Stella | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2017-03-26 |
| 1255883096 | Catherine Bereznay | Naturopath | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2016-10-27 |
| 1215330873 | Mallory Christine Anderson | Naturopath | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2014-09-26 |
| 1871909283 | Nasya Sierra | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2014-07-07 |
| 1699187781 | Jessica Hallerman Price | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2014-05-23 |
| 1639439474 | Shoshana Cohen Aleinikoff | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2012-05-28 |
| 1538429402 | Jessica Karp | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2012-05-24 |
| 1285993071 | Jaime Leigh Klippert Fajardo | Family Medicine | 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 | 2012-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| 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 |
|---|---|---|---|---|
| 1124424999 | Harriett Dickey-chasins | Psychologist | 333 E Grand Ave Unit 121, Des Moines, IA 50309-1959 | 2014-11-06 |
| 1922316710 | Hayden Finch | Psychologist | 1400 Walnut St # 110, Des Moines, IA 50309-3427 | 2010-09-15 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1003958232 | Jerald Catron | Psychologist | 3850 Merle Hay Rd Ste 300, Des Moines, IA 50310-1324 | 2007-02-13 |
| 1821002213 | Susan Marie Guenther | Psychologist | 2800 Rutland Ave, Des Moines, IA 50311-4014 | 2006-07-28 |
| 1326027566 | Philip Lawrence Ascheman | Psychologist | 7177 Hickman Rd, Suite 12, Des Moines, IA 50322-4844 | 2006-01-16 |
| 1861494403 | Steven Gordon Warner | Psychologist | 1801 Hickman Rd., Des Moines, IA 50314-1597 | 2005-08-12 |
| 1447651963 | Susan M Guenther, Ph.d., PC | Psychologist | 2800 Rutland Ave, Des Moines, IA 50311-4014 | 2014-09-16 |
| 1538403621 | Rachel Heiss Phd Plc | Psychologist | 1922 Ingersoll Ave, Suite 130, Des Moines, IA 50309-3339 | 2012-11-15 |
| 1407182058 | Todd Pietruszka | Psychologist | 2130 Grand Ave Ste B, Des Moines, IA 50312-5384 | 2009-11-02 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
Please comment or provide details below to improve the information on CRYSTAL MAYBERRY.
| 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.